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IZZA BAZIGH M.D
NPI 1679196836
Internal Medicine - Rheumatology in San Rafael, CA

Active since May 22, 2020PECOS Enrolled
4000 CIVIC CENTER DR STE 200A, SAN RAFAEL, CA 94903(415) 464-0171(415) 464-0171 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 25, 2025, Jul 19, 2023, Jun 8, 2020 and 1 more (4 updates tracked since 2020).

About Izza Bazigh M.d NPPES

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

IZZA BAZIGH M.D (NPI 1679196836) is an individual rheumatology provider in San Rafael, California, licensed in California (A206100) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679196836
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameIZZA BAZIGHCredential: M.D
Location Address4000 CIVIC CENTER DR STE 200ASan Rafael, CA 94903-5233
Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5499 · (480) 301-8000
Phone(415) 464-0171
Fax(415) 464-0171
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 22, 2020
Last NPPES UpdateNovember 25, 20254 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1679196836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in CA · A206100✔ Licensed in AZ · 70252
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4000 CIVIC CENTER DR STE 200A, San Rafael, CA 94903
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111375 Cortez Boulevard, SR 50, Office of Graduate MedicBrooksville, FL 34613 · Phone (352) 592-2756 · Fax (352) 597-6173
Location 213400 E Shea BlvdScottsdale, AZ 85259-5499 · Phone (480) 301-8000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Izza Bazigh M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810358165
PECOS Enrollment IDI20251215001215
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.

Medicare Billing Reassignment

Medicare enrollment records show Izza Bazigh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Univ Of California Ucsf
17 mi
Internal Medicine
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
NPI 1124439807 (415) 476-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 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
$154.04 typical visit price
range $69.07 – $202.63
Typical copayment $38.51 (range $17.26 – $50.65)
Most-billed visit code 99204
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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.

Other Providers at the Same Location NPPES 3

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

CHRISTINE YIM O.D.
Optometrist
4000 CIVIC CENTER DR STE 200A
SAN RAFAEL, CA 94903
Marin County (415) 519-6582
DR. NEAL SHELDON BIRNBAUM M.D.
Internal Medicine (Rheumatology)
4000 CIVIC CENTER DR STE 200A
SAN RAFAEL, CA 94903
Marin County (415) 464-9604
TARIK ISSAM DABIT
Optometrist
4000 CIVIC CENTER DR STE 200A
SAN RAFAEL, CA 94903
Marin County (650) 219-1659

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 Izza Bazigh's NPI number?

The NPI number for Izza Bazigh is 1679196836. It was assigned to this individual provider in the NPPES registry on May 22, 2020.

Where is Izza Bazigh located?

Izza Bazigh practices at 4000 Civic Center Dr Ste 200A, San Rafael, CA 94903. The listed phone number is (415) 464-0171.

What is Izza Bazigh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Izza Bazigh enrolled in Medicare?

Yes. Izza Bazigh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Izza Bazigh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Izza Bazigh reassigns Medicare benefits to Regents Univ Of California Ucsf (San Francisco, CA). The 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 Izza Bazigh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Izza Bazigh was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.