DR. ANEF HASAN SYED NIAZ MD
NPI 1982131280
Internal Medicine - Sports Medicine in Lafayette, LA

NPI Status: Active since May 17, 2017

Contact Information

2390 W CONGRESS ST
LAFAYETTE, LA
ZIP 70506
Phone: (337) 261-6010

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  • Individual
  • Male
  • Years of Experience 9
  • Internal Medicine
  • Sports Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANEF NIAZ

This page provides the complete NPI Profile along with additional information for Anef Niaz, an internist established in Lafayette, Louisiana with a medical specialization in Internal Medicine, focusing in sports medicine and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1982131280 assigned on May 2017. The practitioner's primary taxonomy code is 207RS0010X with license number T5181 (TX). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1982131280
Provider Name
DR. ANEF HASAN SYED NIAZ MD
Gender
Male
Entity Type
Individual
Location Address
2390 W CONGRESS ST LAFAYETTE, LA 70506
Location Phone
(337) 261-6010
Mailing Address
11511 SHADOW CREEK PKWY PEARLAND, TX 77584
Mailing Phone
(713) 442-4997
Medical School Name
OTHER
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
05-17-2017
Last Update Date
02-23-2022
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An internist like Anef Niaz is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 2727 W Holcombe Blvd
    Houston, TX 77025
    (713) 442-0000
  • 2501 N 3rd St Fl 2
    Harrisburg, PA 17110
    (717) 782-2100
  • 1200 McKinney St Ste 473
    Houston, TX 77010
    (713) 442-4700
  • 1900 North Loop W Ste 400
    Houston, TX 77018
    (713) 442-3800
  • 560 Meyerland Plaza Mall
    Houston, TX 77096
    (713) 442-3222

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Sports Medicine

Taxonomy Code
207RS0010X
Type
Allopathic & Osteopathic Physicians
License No.
T5181
License State
TX
Taxonomy Description
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

T5181 (TX)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Kelsey-Seybold Bronze Copay Focus $0 Indiv Med Ded - HMO
  • UHC Kelsey-Seybold Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO
  • UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx) - HMO
  • UHC Kelsey-Seybold Gold Copay Focus+ $0 Indiv Med Ded ($8 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Kelsey-Seybold Silver Copay Focus $0 Indiv Med Ded - HMO
  • UHC Kelsey-Seybold Silver Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Anef Niaz is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Anef Niaz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5991075012

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220311001908

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982131280, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 2 + 3 + 2 + 2 + 1 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1982131280.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Registered Nurse (General Practice)
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Nurse Anesthetist, Certified Registered
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Surgery
2390 W CONGRESS ST
LAFAYETTE, LA 70506
General Acute Care Hospital
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Psychiatric Unit
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Emergency Medicine
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Radiology (Diagnostic Radiology)
2390 W CONGRESS ST, RADIOLOGY DEPT.
LAFAYETTE, LA 70506
Dietitian, Registered
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Nurse Anesthetist, Certified Registered
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Nurse Anesthetist, Certified Registered
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Nurse Anesthetist, Certified Registered
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Nurse Anesthetist, Certified Registered
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Nurse Anesthetist, Certified Registered
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Pediatrics
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Nurse Anesthetist, Certified Registered
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Nurse Anesthetist, Certified Registered
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Nurse Practitioner (Family)
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Family Medicine
2390 W CONGRESS ST, QM
LAFAYETTE, LA 70506
Internal Medicine
2390 W CONGRESS ST, QUALITY MANAGEMENT DEPT
LAFAYETTE, LA 70506
Internal Medicine
2390 W CONGRESS ST
LAFAYETTE, LA 70506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982131280, enumerated as an "individual" on May 17, 2017.

The provider is located at 2390 W CONGRESS ST LAFAYETTE, LA 70506 and the phone number is (337) 261-6010.

Internal Medicine with taxonomy code 207RS0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.