DR. MOHAMMED SOUBHI NIZAM M.D.
NPI 1326203514
Internal Medicine - Endocrinology, Diabetes & Metabolism in Provo, UT

Active since July 28, 2008PECOS EnrolledAccepts Medicare Assignment
1055 N 500 W STE 205, PROVO, UT 84604(801) 429-8095(801) 354-8265 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 17, 2020, Nov 15, 2018 (2 updates tracked since 2018).

About Dr. Mohammed Soubhi Nizam M.d. NPPES

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

DR. MOHAMMED SOUBHI NIZAM M.D. (NPI 1326203514) is an individual endocrinology, diabetes & metabolism provider in Provo, Utah, licensed in Utah (6955621-1205) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains a secondary practice location in American Fork.

NPPES Registry Identity

NPI1326203514
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MOHAMMED SOUBHI NIZAMCredential: M.D.
Location Address1055 N 500 W STE 205Provo, UT 84604-3305
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Fax(801) 354-8265
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 28, 2008
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 17, 2020
✔ NPI 1326203514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in UT · 6955621-1205
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1055 N 500 W STE 205, Provo, UT 84604

Secondary Practice Location 1

Location 11175 E 50 S Ste 241American Fork, UT 84003-2849 · Phone (801) 429-8095 · Fax (801) 354-8265

Other Identifiers 2

Other000000705030IN · Anthem Provider Number
Medicaid201013750IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mohammed Soubhi Nizam M.d. 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.

PECOS PAC ID2062571938
PECOS Enrollment IDI20081106000565
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.

Areas of Expertise CMS Part B claims 29

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
665 services367 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
653 services399 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
496 services316 patients
Thyroxine (thyroid chemical), free 84439
The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
439 services274 patients
Vitamin d-3 level 82306
A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.
369 services271 patients
Kidney function blood test panel 80069
A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.
239 services138 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Castleview Hospital

Acute Care Hospitals · Price, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460011
Location300 North Hospital DrivePrice, UT 84501 · Carbon County
Emergency services Birthing friendly

Delta Community Hospital

Critical Access Hospitals · Delta, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461300
Location126 South White Sage AvenueDelta, UT 84624 · Millard County
Emergency services Birthing friendly

Sanpete Valley Hospital - Cah

Critical Access Hospitals · Mount Pleasant, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461303
Location1100 South Medical DriveMount Pleasant, UT 84647 · Sanpete County
Emergency services Birthing friendly

Gunnison Valley Hospital

Critical Access Hospitals · Gunnison, UT
OwnershipVoluntary non-profit - Other
CMS Certification Number461306
Location64 East 100 NorthGunnison, UT 84634 · Sanpete County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers25 claims87 services$5.81 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers30 claims30 services$185.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
1055 N 500 W STE 205
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W STE 205
PROVO, UT 84604

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 Mohammed Nizam's NPI number?

The NPI number for Mohammed Nizam is 1326203514. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Mohammed Nizam located?

Mohammed Nizam practices at 1055 N 500 W Ste 205, Provo, UT 84604. The listed phone number is (801) 429-8095.

What is Mohammed Nizam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mohammed Nizam enrolled in Medicare?

Yes. Mohammed Nizam 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.

What insurance does Mohammed Nizam accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Mohammed Nizam 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 Mohammed Nizam affiliated with any hospitals?

According to CMS data, Mohammed Nizam is affiliated with Utah Valley Hospital, Castleview Hospital, Delta Community Hospital, Sanpete Valley Hospital - Cah and Gunnison Valley Hospital.

When was this NPI record last updated?

The NPPES record for Mohammed Nizam was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.