Individual provider Active NPI

Muhammad Majid Nazim, MD

  • Family Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1952500522
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.201449 Issued in LA
Practice address
1000 Walters St
Lake Charles, LA 70607-4647
Phone
(337) 480-8066
Fax
(337) 480-8109
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.201449 LA Primary

Addresses

Primary practice location

1000 Walters St
Lake Charles, LA 70607-4647

Mailing address

PO Box 122108
Dept 2108
Dallas, TX 75312-2108
Phone (337) 494-2921

Other identifiers 1

IdentifierTypeStateIssuer
1071218MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070919000062 LA Practitioner - Family Practice 9234223496 Reassigns benefits to 2 organizations
I20220808002344 TX Practitioner - Family Practice 9234223496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovista Provider Group Texas PAGroup PAC ID 6901235423, 24 clinicians

Practice addresses (Care Compare)

2021 N Town E Blvd
Suite 500
Mesquite, TX 75150-4079
Phone (866) 325-0301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Louisiana Hospital Association Inc CurrentSince Oct 1, 2017 Accepting new patients
Southwest Louisiana Hospital Association Inc CurrentSince Oct 1, 2017 Accepting new patients
Innovista Provider Group Texas PA Family Medicine CurrentSince Oct 31, 2025 Accepting new patients
Innovista Provider Group Texas PA Family Medicine Current Accepting new patients
Calcasieu Cameron Hospital Medicine Group LLC CurrentSince Sep 17, 2016 Accepting new patients

Locations

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1000 Walters St
Lake Charles, LA 70607
Phone (337) 475-8687

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

12586 Westheimer Rd
Houston, TX 77077
Phone (713) 804-5963

2021 N Town East Blvd
Ste 500
Mesquite, TX 75150
Phone (214) 979-5423

350 S Plano Rd
Richardson, TX 75081
Phone (214) 979-5420

18532 Kuykendahl Rd
Spring, TX 77379
Phone (713) 804-5960

Interoperability endpoints

  • Direct secure messaging: mnazim25680@innovista.gardenplot.direct-ci.com

Organizations & group practices 5

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1952500522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122108",
            "address_2": "DEPT 2108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122108",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WALTERS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074647",
            "telephone_number": "337-480-8066",
            "fax_number": "337-480-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZIM",
        "first_name": "MUHAMMAD",
        "middle_name": "MAJID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.201449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1071218",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.