NISREEN SHABBIR EZUDDIN MD
NPI 1073017174
Radiology - Vascular & Interventional Radiology in North Miami Beach, FL
About Nisreen Shabbir Ezuddin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NISREEN SHABBIR EZUDDIN MD (NPI 1073017174) is an individual vascular & interventional radiology provider in North Miami Beach, Florida, licensed in Missouri (2025039391) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Fawcett Hospital, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 4
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
Nisreen Shabbir Ezuddin 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
6Medicare enrollment records show Nisreen Ezuddin reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
North Miami Beach, FL 33169
- Reassigned Medicare billing, Florida enrollment
- 16 clinicians in this Medicare group
Lakeland, FL 33805
- Reassigned Medicare billing, Florida enrollment
- 740 clinicians in this Medicare group
Tampa, FL 33606
- Reassigned Medicare billing, Florida and Texas enrollments
- 1,130 clinicians in this Medicare group
Chattanooga, TN 37411
- Reassigned Medicare billing, Florida enrollment
- 5 clinicians in this Medicare group
Shenandoah, TX 77380
- Reassigned Medicare billing, Florida and Texas enrollments
- Also billed through NPI 1487811766 (Texas)
- 103 clinicians in this Medicare group
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hca Florida Fawcett Hospital
Acute Care Hospitals · Port Charlotte, FLHca Florida Lawnwood Hospital
Acute Care Hospitals · Fort Pierce, FLSt Luke's The Woodlands Hospital
Acute Care Hospitals · The Woodlands, TXSt Luke's Sugar Land Hospital
Acute Care Hospitals · Sugar Land, TXSt Luke's Hospital At The Vintage
Acute Care Hospitals · Houston, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33169 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.
NORTH MIAMI BEACH, FL 33169
NORTH MIAMI BEACH, FL 33169
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 Nisreen Ezuddin's NPI number?
The NPI number for Nisreen Ezuddin is 1073017174. It was assigned to this individual provider in the NPPES registry on March 22, 2018.
Where is Nisreen Ezuddin located?
Nisreen Ezuddin practices at 160 NW 170th St, North Miami Beach, FL 33169. The listed phone number is (305) 651-1100.
What is Nisreen Ezuddin's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Nisreen Ezuddin enrolled in Medicare?
Yes. Nisreen Ezuddin 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 Nisreen Ezuddin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nisreen Ezuddin reassigns Medicare benefits to 6 organizations: Apexx Radiology Of South Florida, LLP (North Miami Beach, FL), Lakeland Regional Health Systems, Inc. (Lakeland, FL), Mori Bean And Brooks Inc (Tampa, FL), Memorial Health Partners Foundation, Inc (Chattanooga, TN), Singleton Associates PA (Shenandoah, TX) and 1 more organization, listed in the Medicare section above. 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 Nisreen Ezuddin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nisreen Ezuddin accept?
Health plans from Blue Cross and Blue Shield of Texas, Community First and Oscar Health Maintenance Organization of Florida list Nisreen Ezuddin 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 Nisreen Ezuddin affiliated with any hospitals?
According to CMS data, Nisreen Ezuddin is affiliated with Hca Florida Fawcett Hospital, Hca Florida Lawnwood Hospital, St Luke's The Woodlands Hospital, St Luke's Sugar Land Hospital and St Luke's Hospital At The Vintage.
When was this NPI record last updated?
The NPPES record for Nisreen Ezuddin was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nisreen Shabbir Ezuddin, MD · NPI 1073017174
Vascular & Interventional Radiology physician in North Miami Beach, Florida. Individual provider, active in the CMS NPPES registry since March 22, 2018.
## Identity
- **NPI:** 1073017174 (Entity type: Individual)
- **Enumerated:** March 22, 2018
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **State license:** 2025039391 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 NW 170TH ST, North Miami Beach, FL 33169-5521
- **Phone:** (305) 651-1100
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Apexx Radiology Of South Florida, LLP (NPI 1700261674, North Miami Beach, FL); Lakeland Regional Health Systems, Inc. (NPI 1497748743, Lakeland, FL); Mori Bean And Brooks Inc (NPI 1093782070, Tampa, FL); Memorial Health Partners Foundation, Inc (NPI 1922053545, Chattanooga, TN); Singleton Associates PA (NPI 1538107875, Shenandoah, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073017174) · Data from the CMS NPPES public registry.