SOBIA NIZAMI MD
NPI 1386050615
Internal Medicine - Infectious Disease in Plano, TX

Active since July 08, 2014PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
6537 PRESTON RD, PLANO, TX 75024(972) 867-9131(972) 867-6225 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 7, 2025, Mar 18, 2023, Mar 8, 2023 and 3 more (6 updates tracked since 2017).

About Sobia Nizami Md NPPES

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

SOBIA NIZAMI MD (NPI 1386050615) is an individual infectious disease provider in Plano, Texas, licensed in Pennsylvania (MD479443) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1386050615
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameSOBIA NIZAMICredential: MD
Location Address6537 PRESTON RDPlano, TX 75024-2610
Mailing AddressPo Box 802772Dallas, TX 75380-2772 · (972) 484-7700
Fax(972) 867-6225
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 8, 2014
Last NPPES UpdateJanuary 7, 20256 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
NPI 1386050615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in PA · MD479443
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 291185 (NY)
6537 PRESTON RD, Plano, TX 75024

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

Sobia Nizami 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.

PECOS PAC ID4981957743
PECOS Enrollment IDI20240910000683
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
57 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75024 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality80.13
Promoting Interoperability74
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers27 claims108 services$5.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers15 claims29 services$0.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$101.67 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$24.68 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 13

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

Psychiatry & Neurology (Psychiatry)
6537 PRESTON RD
PLANO, TX 75024
Physician Assistant (Medical)
6537 PRESTON RD
PLANO, TX 75024
Internal Medicine (Infectious Disease)
6537 PRESTON RD
PLANO, TX 75024
Internal Medicine (Infectious Disease)
6537 PRESTON RD
PLANO, TX 75024
Internal Medicine (Infectious Disease)
6537 PRESTON RD
PLANO, TX 75024
Internal Medicine (Infectious Disease)
6537 PRESTON RD
PLANO, TX 75024
Family Medicine
6537 PRESTON RD
PLANO, TX 75024
Internal Medicine (Infectious Disease)
6537 PRESTON RD
PLANO, TX 75024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386050615, enumerated as an "individual" on July 08, 2014.

The provider is located at 6537 PRESTON RD PLANO, TX 75024 and the phone number is (972) 867-9131.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

Sobia Nizami is affiliated with: MEDICAL CENTER OF MCKINNEY, MEDICAL CITY PLANO, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO and TEXAS HEALTH HOSPITAL FRISCO.