MEHRUNISSA KAZIM MD
NPI 1043763782
Internal Medicine in Worcester, MA
About Mehrunissa Kazim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEHRUNISSA KAZIM MD (NPI 1043763782) is an individual internal medicine provider in Worcester, Massachusetts, licensed in Massachusetts (267641) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and maintains a secondary practice location in Louisville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mehrunissa Kazim Md 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
3Medicare enrollment records show Mehrunissa Kazim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, KY 40241
- Reassigned Medicare billing, Kentucky enrollment
- 2,337 clinicians in this Medicare group
Clarksville, IN 47129
- Reassigned Medicare billing, Indiana and Kentucky enrollments
- 2 clinicians in this Medicare group
New Albany, IN 47150
- Reassigned Medicare billing, Indiana enrollment
- 163 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 3
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Floyd
Acute Care Hospitals · New Albany, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WORCESTER, MA 01608
WORCESTER, MA 01608
WORCESTER, MA 01608
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 Mehrunissa Kazim's NPI number?
The NPI number for Mehrunissa Kazim is 1043763782. It was assigned to this individual provider in the NPPES registry on July 29, 2016.
Where is Mehrunissa Kazim located?
Mehrunissa Kazim practices at 123 Summer St, Worcester, MA 01608. The listed phone number is (508) 363-6208.
What is Mehrunissa Kazim's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mehrunissa Kazim enrolled in Medicare?
Yes. Mehrunissa Kazim 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 Mehrunissa Kazim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mehrunissa Kazim reassigns Medicare benefits to 3 organizations: University Of Louisville Physicians, Inc. (Louisville, KY), Sha LLC (Clarksville, IN) and New Albany Hospitalist Group, LLC (New Albany, IN). 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 Mehrunissa Kazim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mehrunissa Kazim affiliated with any hospitals?
According to CMS data, Mehrunissa Kazim is affiliated with Baptist Health Floyd.
When was this NPI record last updated?
The NPPES record for Mehrunissa Kazim was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Mehrunissa Kazim, MD · NPI 1043763782
Internal Medicine physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since July 29, 2016.
## Identity
- **NPI:** 1043763782 (Entity type: Individual)
- **Enumerated:** July 29, 2016
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 267641 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 123 SUMMER ST, Worcester, MA 01608-1216
- **Phone:** (508) 363-6208
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Louisville Physicians, Inc. (NPI 1972859098, Louisville, KY); Sha LLC (NPI 1578431656, Clarksville, IN); New Albany Hospitalist Group, LLC (NPI 1255084752, New Albany, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** July 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1043763782) · Data from the CMS NPPES public registry.