Individual provider Active NPI

Wasay Nizam, MD

  • Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1902331267
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD488047 Issued in PA
Practice address
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Phone
(412) 578-5120
NPI assigned
Apr 25, 2017
Reactivated
Nov 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD488047 PA Primary

Addresses

Primary practice location

4800 Friendship Ave
Pittsburgh, PA 15224-1722

Mailing address

4800 Friendship Ave
Pittsburgh, PA 15224-1722
Phone (412) 578-5120

Other identifiers 1

IdentifierTypeStateIssuer
16706477OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260130001728 PA Practitioner - General Surgery 1153809298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

4800 Friendship Ave
Suite 2307
Pittsburgh, PA 15224-1722
Phone (412) 578-5120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD488047PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Feb 1, 2026 Accepting new patients
Allegheny Clinic CurrentSince Feb 1, 2026 Accepting new patients

Locations

145 W 23rd St
Ste 101
Erie, PA 16502
Phone (814) 452-2767

4815 Liberty Ave
Ste 425
Pittsburgh, PA 15224
Phone (412) 359-4352

4800 Friendship Ave
Ste 2307
Pittsburgh, PA 15224
Phone (412) 578-5120

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

Interoperability endpoints

  • Direct secure messaging: wnizam2008952@direct.trinity-health.org
  • Direct secure messaging: wnizam918571@direct.ahn.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1902331267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 FRIENDSHIP AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241722",
            "telephone_number": "412-578-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 FRIENDSHIP AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241722",
            "telephone_number": "412-578-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZAM",
        "first_name": "WASAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "deactivation_date": "2017-11-27",
        "reactivation_date": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD488047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16706477",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.