Active NPI
Nizam Ud Din
- Internal Medicine Physician
- Southbridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101266349
- Practice address
- 100 South St
Southbridge, MA 01550-4051 - Phone
- (508) 765-9771
- Fax
- (508) 909-7735
- NPI assigned
- May 20, 2008
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 238494 | MA | |
| Hospitalist Physician | 208M00000X | 0101266349 | VA | |
| Internal Medicine Physician | 207R00000X | 0101266349 | VA | Primary |
Addresses
Primary practice location
100 South St
Southbridge, MA 01550-4051
Mailing address
100 South St
Southbridge, MA 01550-4051
Phone (508) 765-9771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, OH, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13710 St Francis Blvd
Midlothian, VA 23114-3267
Phone (804) 594-7300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.85 of 100
- Quality
- 74.19
- Improvement activities
- 40
- Cost
- 73.55
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101266349 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Virginia - Richmond, LLC | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates, P.a.,P.C. | Internal Medicine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Internal Medicine | Current | Accepting new patients |
| Vituity-Virginia Hospitalists PC | Hospitalist | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Virginia LLC | Internal Medicine | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Ohio, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Fredericksburg, LLC | Internal Medicine | Current | Accepting new patients |
| WHC Physician Group LLC | Current | Accepting new patients | |
| 4M Hospitalist Services, LLC | Internal Medicine | Current | Accepting new patients |
| WHC Emerg Phys | Current | Accepting new patients | |
| Usacs Integrated Acute Care Services of North Carolina, PLLC | Internal Medicine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
| Shore Hospitalists Associates P.a. | Internal Medicine | Past | Accepting new patients |
| Arnot Medical Services PLLC | Internal Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
Rm 2A38M
Washington, DC 20010
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000
13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
Interoperability endpoints
- ndin648929@direct.umm.edu
Organizations & group practices 15
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.
-
- Hospitalist Physician
- Richmond, VA
- NPI 1518611011
-
- Internal Medicine Physician
- Akron, OH
- NPI 1508288531
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1699311324
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
-
- Internal Medicine Physician
- Elizabeth City, NC
- NPI 1437869302
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1043805690
-
- General Practice Physician
- Washington, DC
- NPI 1700154226
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1366404428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1861659625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SOUTH ST",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015504051",
"telephone_number": "508-765-9771",
"fax_number": "508-909-7735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SOUTH ST",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015504051",
"telephone_number": "508-765-9771",
"fax_number": "508-909-7735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIN",
"first_name": "NIZAM",
"middle_name": "UD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-20",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "238494",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101266349",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101266349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.