Active NPI
Enayatullah Niazi, MD
- Internal Medicine Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A187026
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 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
Enrollment records 1
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
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
- Northbay Medical Center
- Sutter Amador Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A187026 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Niazi Family Medicine & Urgent Care Inc | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Multi-Specialty | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Multi-Specialty | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Northbay Healthcare Group | Multi-Specialty | Current | Accepting new patients |
| Niazi Family Medicine & Urgent Care Inc | Multi-Specialty | Current | Accepting new patients |
| Northbay Healthcare Group | Multi-Specialty | Current | Accepting new patients |
| Snar, Inc | Multi-Specialty | Current | Accepting new patients |
| Shifa | Multi-Specialty | Current | 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
- 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.
-
- Family Medicine Physician
- Sacramento, CA
- NPI 1255109948
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Internal Medicine Physician
- Hanford, CA
- NPI 1114285657
-
- Urgent Care Clinic/Center
- Sacramento, CA
- NPI 1487416293
-
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
- Community Based Hospice Care Agency
- Pleasanton, CA
- NPI 1508271388
-
- General Acute Care Hospital
- Jackson, CA
- NPI 1447494323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.