BIJAN NEZAMI
NPI 1003201625
Internal Medicine - Critical Care Medicine in Summit, WI
About Bijan Nezami NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BIJAN NEZAMI (NPI 1003201625) is an individual critical care medicine provider in Summit, Wisconsin, licensed in Wisconsin (66833-20) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains a secondary practice location in Madison.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bijan Nezami is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Bijan Nezami reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beaver Dam, WI 53916
- Reassigned Medicare billing, Wisconsin enrollment
- 606 clinicians in this Medicare group
Appleton, WI 54911
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Fox Valley Pulmonary Medicine Sc
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thedacare Regional Med Ctr - Neenah
Acute Care Hospitals · Neenah, WISt. Agnes Hospital Hospice
Acute Care Hospitals · Fond Du Lac, WIThedacare Regional Medical Center - Appleton Inc
Acute Care Hospitals · Appleton, WIThedacare Medical Center - Shawano
Critical Access Hospitals · Shawano, WIBerlin Memorial Hospital
Critical Access Hospitals · Berlin, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SUMMIT, WI 53066
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bijan Nezami's NPI number?
The NPI number for Bijan Nezami is 1003201625. It was assigned to this individual provider in the NPPES registry on March 31, 2015.
Where is Bijan Nezami located?
Bijan Nezami practices at 36500 Aurora Dr, Summit, WI 53066. The listed phone number is (262) 434-1000.
What is Bijan Nezami's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Bijan Nezami enrolled in Medicare?
Yes. Bijan Nezami is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Bijan Nezami's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bijan Nezami reassigns Medicare benefits to 2 organizations: Agnesian Healthcare (Beaver Dam, WI) and Fox Valley Pulmonary Medicine, S.C. (Appleton, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bijan Nezami's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bijan Nezami accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan and HealthPartners and 3 other insurers list Bijan Nezami as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Bijan Nezami affiliated with any hospitals?
According to CMS data, Bijan Nezami is affiliated with Thedacare Regional Med Ctr - Neenah, St. Agnes Hospital Hospice, Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center - Shawano and Berlin Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Bijan Nezami was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bijan Nezami · NPI 1003201625
Critical Care Medicine physician in Summit, Wisconsin. Individual provider, active in the CMS NPPES registry since March 31, 2015.
## Identity
- **NPI:** 1003201625 (Entity type: Individual)
- **Enumerated:** March 31, 2015
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 66833-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 36500 AURORA DR, Summit, WI 53066-4899
- **Phone:** (262) 434-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Agnesian Healthcare (NPI 1700817657, Beaver Dam, WI); Fox Valley Pulmonary Medicine, S.C. (NPI 1366506016, Appleton, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003201625) · Data from the CMS NPPES public registry.