Dr Mohammed Soubhi Nizam, MD in Provo, UT

Dr Mohammed Soubhi Nizam, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Provo, Utah. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Endocrinology. He is a member of the group practice Central Utah Clinic Pc and his current practice location is 1055 N 500 W Ste 205, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 429-8095.

Dr Mohammed Soubhi Nizam is licensed to practice in Utah (license number 6955621-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326203514.

Contact Information

	Dr Mohammed Soubhi Nizam, MD
	1055 N 500 W Ste 205, Provo, UT 84604-3305
	(801) 429-8095
	(801) 354-8265

Map and Direction

Physician's Profile

Full Name	Dr Mohammed Soubhi Nizam
Gender	Male
Speciality	Endocrinology
Experience	36 Years
Location	1055 N 500 W Ste 205, Provo, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mohammed Soubhi Nizam graduated from medical school in 1988

NPI Data:

NPI Number: 1326203514
Provider Enumeration Date: 07/28/2008
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2062571938
Enrollment ID: I20081106000565

Medical Identifiers

Medical identifiers for Dr Mohammed Soubhi Nizam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326203514	NPI	-	NPPES
000000705030	Other	IN	ANTHEM PROVIDER NUMBER
201013750	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	6955621-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gunnison Valley Hospital	Gunnison, UT	Hospital
Utah Valley Hospital	Provo, UT	Hospital
Sanpete Valley Hospital - Cah	Mount pleasant, UT	Hospital
Castleview Hospital	Price, UT	Hospital
Delta Community Hospital	Delta, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Utah Clinic Pc	7517868508	386

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mohammed Soubhi Nizam allows following entities to bill medicare on his behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mohammed Soubhi Nizam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mohammed Soubhi Nizam, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	Dr Mohammed Soubhi Nizam, MD 1055 N 500 W Ste 205, Provo, UT 84604-3305 Ph: (801) 429-8095

Reviews and Comments

Internal Medicine Doctors in Provo, UT

Dr. Christopher Gordon, D.O. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 745 N 500 W Ste 200, Provo, UT 84601 Phone: 801-375-9292 Fax: 801-375-9290
Daniel N. Bennett, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Ste 101, Building C, Provo, UT 84604 Phone: 801-373-4366
Dr. Christopher Ryan Lew, DO Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-960-7558
Albert Rivero, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1134 N 500 W Ste 101, Provo, UT 84604 Phone: 801-357-8310
Dr. Wenshu Yu, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3650 N University Ave Ste 150, Provo, UT 84604 Phone: 801-818-1940 Fax: 801-818-1945
William T. Stephenson Ii, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 103, Provo, UT 84604 Phone: 801-357-8200 Fax: 801-357-8201
Gregory E Craner, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W, Suite 100 Bldg B, Provo, UT 84604 Phone: 801-374-1268 Fax: 801-429-8041

Dr Mohammed Soubhi Nizam, MD - Medicare Endocrinology in Provo, UT