Active NPI
Michael A Nizzi, D.O.
- Surgery Physician
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4561673
- Practice address
- 4400 E Flamingo Ave Ste 200
Nampa, ID 83687-1128 - Phone
- (208) 302-2700
- Fax
- (208) 302-2725
- NPI assigned
- Jul 13, 2006
- Last updated
- Mar 24, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4561673 | ID | Primary |
| Surgery Physician | 208600000X | DO228162 | OR | |
| Surgery Physician | 208600000X | 5101012308 | MI |
Addresses
Primary practice location
4400 E Flamingo Ave Ste 200
Nampa, ID 83687-1128
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Phone (231) 935-2400
Other practice location 2
1050 SW 3rd Ave Ste 3201
Ontario, OR 97914-2193
Phone (541) 881-2330
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.nizzi@gts.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3025 W Cherry LN
Meridian, ID 83642-8531
4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000
4400 E Flamingo Ave
Nampa, ID 83687-9203
4400 E Flamingo Ave
Suite 200
Nampa, ID 83687-1128
Phone (208) 302-1035
4402 E Flamingo Ave
Nampa, ID 83687-9203
Phone (208) 288-4520
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4561673 | ID | MD | Surgery Physician |
| 5101012308 | MI | MD | Surgery Physician |
| DO228162 | OR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Past | Accepting new patients | |
| Saint Alphonsus Medical Center- Ontario Inc | Past | Accepting new patients | |
| Munson Medical Center | Past | Accepting new patients |
Locations
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
712 Aviation Way
Caldwell, ID 83605
Phone (208) 302-7100
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
4400 E Flamingo Ave
Ste 200
Nampa, ID 83687
Phone (208) 302-2100
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
1221 Sixth St
Ste 300
Traverse City, MI 49684
Phone (231) 392-0640
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900
701 W Front St
Ste 200
Traverse City, MI 49684
Phone (231) 346-4000
1050 SW 3rd Ave
Ste 3201
Ontario, OR 97914
Phone (541) 881-2330
Interoperability endpoints
- michael.nizzi@gts.eclinicaldirectplus.com
Organizations & group practices 9
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.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
dba Endocrinology and Metabolism
- Endocrinology, Diabetes & Metabolism Physician
- Traverse City, MI
- NPI 1083761860
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
-
- Internal Medicine Physician
- Traverse City, MI
- NPI 1205864220
-
- Psychiatric Hospital Unit
- Traverse City, MI
- NPI 1891586103
-
dba Urgent Care-UCN
- Family Medicine Physician
- Traverse City, MI
- NPI 1881623031
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
-
dba Saint Alphonsus Medical Center Ontario
- General Acute Care Hospital
- Ontario, OR
- NPI 1891891792
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health & Hospice
- Home Health Agency
- Boise, ID
- NPI 1598717696
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1700802055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 E FLAMINGO AVE STE 200",
"city": "NAMPA",
"state": "ID",
"postal_code": "836871128",
"telephone_number": "208-302-2700",
"fax_number": "208-302-2725"
}
],
"practiceLocations": [
{
"address_1": "1221 Sixth St Ste 300",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496842360",
"country_code": "US",
"telephone_number": "231-935-2400",
"fax_number": "231-935-2424",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 SW 3rd Ave Ste 3201",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "OR",
"postal_code": "979142193",
"country_code": "US",
"telephone_number": "541-881-2330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIZZI",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": "4561673",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "DO228162",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101012308",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.nizzi@gts.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1221 Sixth St Ste 300",
"city": "Traverse City",
"state": "MI",
"country_code": "US",
"postal_code": "496842360",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.