Individual provider Active NPI

Ismatt Reza Niazi, M.D.

  • Psychiatry Physician
  • Lincoln, NE
National Provider Identifier
1821452970
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33436 Issued in NE
Practice address
140 N 8TH St Ste 418
Lincoln, NE 68508-1359
Phone
(402) 817-5813
Fax
(308) 318-2953
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 33436 NE
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 33436 NE Primary

Addresses

Primary practice location

140 N 8TH St Ste 418
Lincoln, NE 68508-1359

Mailing address

140 N 8TH St Ste 418
Lincoln, NE 68508-1359
Phone (402) 817-5813

Other practice location 1

2221 S 17th St Ste 202
Lincoln, NE 68502-3763
Phone (402) 483-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20210727002911 NE Practitioner - Psychiatry 5991032831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Nebraska College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33436NEMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network Multi-Specialty CurrentSince Jul 2, 2021 Accepting new patients
A1 Family Psychiatry Multi-Specialty CurrentSince Sep 14, 2025 Accepting new patients
Bryan Medical Center Multi-Specialty Past Accepting new patients

Locations

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

140 N 8th St
Ste 418
Lincoln, NE 68508
Phone (402) 817-5813

2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877

2221 S 17th St
Ste 202
Lincoln, NE 68502
Phone (402) 476-6626

2221 S 17th St
Ste 310
Lincoln, NE 68502
Phone (402) 483-8550

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1821452970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N 8TH ST STE 418",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081359",
            "telephone_number": "402-817-5813",
            "fax_number": "308-318-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N 8TH ST STE 418",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081359",
            "telephone_number": "402-817-5813",
            "fax_number": "308-318-2953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 S 17th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685023763",
            "country_code": "US",
            "telephone_number": "402-483-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIAZI",
        "first_name": "ISMATT",
        "middle_name": "REZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NE",
            "license": "33436",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "33436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.