Individual provider Active NPI

Nicholas J Izor, M.D.

  • Nephrology Physician
  • Birmingham, AL
National Provider Identifier
1679004865
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
44368 Issued in AL
Practice address
817 Princeton Avenue SW
Professional Office BLDG 2; Suite 206
Birmingham, AL 35211
Phone
(205) 226-5900
Fax
(205) 226-5937
NPI assigned
Mar 21, 2017
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 44368 AL Primary

Addresses

Primary practice location

817 Princeton Avenue SW
Professional Office BLDG 2; Suite 206
Birmingham, AL 35211

Mailing address

1770 Independence CT
Vestavia Hills, AL 35216-1259
Phone (205) 226-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220719000316 AL Practitioner - Nephrology 5597034744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates, PCGroup PAC ID 1557330859, 31 clinicians

Practice addresses (Care Compare)

817 Princeton Ave SW
Suite 206
Birmingham, AL 35211-1348
Phone (205) 226-5900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44368ALMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, PC Nephrology CurrentSince Aug 1, 2022 Accepting new patients
Physical Therapy Solutions,LLC PastSince Mar 11, 2025 Accepting new patients

Locations

1088 9th Ave SW
Ste 108
Bessemer, AL 35022
Phone (205) 428-8500

817 Princeton Ave SW
Ste 206
Birmingham, AL 35211
Phone (205) 788-7572

2700 Rogers Dr
Ste 102
Homewood, AL 35209
Phone (205) 379-0975

35 W Lakeshore Dr
Ste 200
Homewood, AL 35209
Phone (205) 226-5934

1770 Independence Ct
Vestavia Hills, AL 35216
Phone (205) 226-5934

1909 Laurel Rd
Vestavia Hills, AL 35216
Phone (205) 978-3568

Organizations & group practices 2

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

Hospital & facility affiliations 7

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1679004865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 INDEPENDENCE CT",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161259",
            "telephone_number": "205-226-5900",
            "fax_number": "205-226-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVENUE SW",
            "address_2": "PROFESSIONAL OFFICE BLDG 2; SUITE 206",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35211",
            "telephone_number": "205-226-5900",
            "fax_number": "205-226-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZOR",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "44368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.