DR. SAMI A NIZAM II MD, DMD - NPI 1205150190 - Oral & Maxillofacial Surgery in Montgomery, AL

Q: What is Sami Nizam's NPI number?

The NPI number for Sami Nizam is 1205150190. It was assigned to this individual provider in the NPPES registry on March 21, 2010.

Q: What is Sami Nizam's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Sami Nizam was last updated on July 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Sami A Nizam Ii Md, Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMI A NIZAM II MD, DMD (NPI 1205150190) is an individual oral & maxillofacial surgery provider in Montgomery, Alabama, licensed in Alabama (6484C) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205150190

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. SAMI A NIZAM IICredential: MD, DMD

Location Address4590 WOODMERE BLVDMontgomery, AL 36106

Mailing Address4590 Woodmere BlvdMontgomery, AL 36106-2918 · (334) 271-2002

Phone(334) 271-2002

Sole ProprietorNo

Enumeration DateMarch 21, 2010

Last NPPES UpdateJuly 30, 20184 updates tracked since enumeration

✔ NPI 1205150190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Licenses✔ Licensed in AL · 6484C✔ Licensed in AR · 4193

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentistTaxonomy 122300000X · License 22DI02509400 (NJ)

Also ListedPlastic SurgeryTaxonomy 208200000X · License E-10461 (AR)

4590 WOODMERE BLVD, Montgomery, AL 36106

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Secondary Practice Locations 3

Location 110809 Executive Center Dr Ste 100Little Rock, AR 72211-6020 · Phone (501) 227-0707

Location 212018 Chenal PkwyLittle Rock, AR 72211-2759 · Phone (501) 244-3662

Location 3110 Bergen St Rm B854Newark, NJ 07103-2495 · Phone (386) 344-2816

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sami A Nizam Ii Md, Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANN MARIE KARST CRNA

Nurse Anesthetist, Certified Registered