Rayees Nizam, MD
Internal Medicine, Gastroenterology in Oswego, NY. Individual provider (NPI-1).
NPI number1154375087
StatusActive
Last updated in NPPESOct 18, 2021
Details
- NPI
- 1154375087
- Entity type
- Individual (NPI-1)
- Name
- Rayees Nizam
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2006
- Certification date
- Oct 18, 2021
- Last updated
- Oct 18, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GASTROENTEROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 204479 | NY | Yes |
Practice location
105 County Route 45aOswego, NY 13126-6664
Phone 315-312-0089 · Fax 315-312-0110
Mailing address
110 W 6th StOswego, NY 13126-2507
Phone 315-349-5511 · Fax 315-349-5921
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