Individual provider Active NPI

Enayatullah Niazi, MD

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1609404748
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A187026 Issued in CA
Practice address
8191 Timberlake Way Ste 400
Sacramento, CA 95823-5419
Phone
(916) 688-8888
Fax
(916) 688-8837
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A187026 CA Primary

Addresses

Primary practice location

8191 Timberlake Way Ste 400
Sacramento, CA 95823-5419

Mailing address

8725 Gladiola Way
Elk Grove, CA 95624-3843

Other practice location 1

8725 Gladiola Way
Elk Grove, CA 95624-3843
Phone (916) 612-8389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230727002264 CA Practitioner - Internal Medicine 4183085889 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northbay Physicians Surgery Center, LLCGroup PAC ID 0042122244, 336 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Niazi Family Medicine and Urgent Care IncGroup PAC ID 1557709375, 2 clinicians

Practice addresses (Care Compare)

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600

200 Mission Blvd
Jackson, CA 95642-2564
Phone (916) 733-3777

7275 E Southgate Dr
Suite 102
Sacramento, CA 95823-2610
Phone (916) 244-4464

815 Court St
Jackson, CA 95642-2154

Hospital & facility affiliations

  • Bristol Hospice - East Bay Hospice, Pleasanton, CA, CCN 921543
  • Northbay Medical Center Hospital, Fairfield, CA, CCN 050367
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A187026CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Niazi Family Medicine & Urgent Care Inc CurrentSince Jan 28, 2024 Accepting new patients
Sutter Valley Medical Foundation Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Galen Inpatient Physicians PC Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 1, 2025 Accepting new patients
Northbay Healthcare Group Multi-Specialty CurrentSince Jul 25, 2023 Accepting new patients
Niazi Family Medicine & Urgent Care Inc Multi-Specialty CurrentSince Oct 26, 2023 Accepting new patients
Northbay Healthcare Group Multi-Specialty Current Accepting new patients
Snar, Inc Multi-Specialty CurrentSince Sep 6, 2023 Accepting new patients
Shifa Multi-Specialty CurrentSince Dec 17, 2023 Accepting new patients
Galen Inpatient Physicians, PC Multi-Specialty Current Accepting new patients

Locations

6437 Fair Oaks Blvd
Carmichael, CA 95608
Phone (609) 254-7817

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

7275 E Southgate Dr
Ste 102
Sacramento, CA 95823
Phone (916) 244-4464

8191 Timberlake Way
Ste 400
Sacramento, CA 95823
Phone (916) 688-8888

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Interoperability endpoints

  • Direct secure messaging: eniazi663628@hisp.ehr.sutterhealth.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1609404748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 GLADIOLA WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956243843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 TIMBERLAKE WAY STE 400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235419",
            "telephone_number": "916-688-8888",
            "fax_number": "916-688-8837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8725 Gladiola Way",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "956243843",
            "country_code": "US",
            "telephone_number": "916-612-8389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIAZI",
        "first_name": "ENAYATULLAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A187026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.