Active NPI
Reza Nabavizadeh, MD
- Urology Physician
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 71077
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Jun 18, 2017
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2024-02249 | NC | |
| Urology Physician | 208800000X | 22454 | WI | |
| Urology Physician | 208800000X | 77702 | WI | |
| Urology Physician | 208800000X | 105501 | GA | |
| Urology Physician | 208800000X | 71077 | MN | Primary |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-9000
Other practice location 2
1365 Clifton Rd NE Ste B6140
Atlanta, GA 30322-1013
Phone (404) 778-4615
Other practice location 3
2010 Baldwin Ln
Winston Salem, NC 27103-5846
Phone (336) 277-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, NC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 277-1717
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
40 Duke Medicine Cir
Durham, NC 27710-3810
Phone (919) 684-8111
6301 Stadium Dr
Clemmons, NC 27012-8766
Phone (336) 766-6473
701 Doctors Dr
Suite L
Kinston, NC 28501-1584
Phone (252) 527-3403
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000
Hospital & facility affiliations
- Duke University Hospital
- Unc Health Nash
- Northeast Georgia Medical Center, Inc
- Novant Health Forsyth Medical Center
- Duke Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105501 | GA | MD | Urology Physician |
| 2024-02249 | NC | MD | Urology Physician |
| 22454 | WI | MD | Urology Physician |
| 77702 | WI | MD | Urology Physician |
Practice roles
Locations
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
7210 Village Medical Cir
Ste 225
Clemmons, NC 27012
Phone (336) 245-2100
20 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6608
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
6301 Herndon Rd
Durham, NC 27713
Phone (919) 620-5333
1730 Kernersville Medical Pkwy
Ste 303
Kernersville, NC 27284
Phone (336) 564-4430
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
701 Doctors Dr
Ste L
Kinston, NC 28501
Phone (252) 527-3043
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
180 Foy Dr
Rocky Mount, NC 27804
Phone (252) 443-3136
648 Almondridge Dr
Rural Hall, NC 27045
Phone (336) 969-0510
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
140 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 245-2100
2010 Baldwin Ln
Winston Salem, NC 27103
Phone (336) 277-1717
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
Interoperability endpoints
- rnabavizadeh605713@direct.medicine.duke.edu
- rnabavizadeh1721325@direct.novanthealth.org
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
Urology
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
-
- Urology Physician
- Winston Salem, NC
- NPI 1205558913
-
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
- Rural Health Clinic/Center
- Mondovi, WI
- NPI 1174116669
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1942980917
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1871592113
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
- General Acute Care Hospital
- Rocky Mount, NC
- NPI 1619969219
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1982134391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
}
],
"practiceLocations": [
{
"address_1": "743 Spring St NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013715",
"country_code": "US",
"telephone_number": "770-219-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1365 Clifton Rd NE Ste B6140",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303221013",
"country_code": "US",
"telephone_number": "404-778-4615",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2010 Baldwin Ln",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271035846",
"country_code": "US",
"telephone_number": "336-277-1717",
"fax_number": "336-277-1718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NABAVIZADEH",
"first_name": "REZA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-18",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "2024-02249",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WI",
"license": "22454",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WI",
"license": "77702",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "105501",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MN",
"license": "71077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.