NIZAR H TAKI (M.D.) – Otolaryngology Physician, NPI 1164783551

NIZAR H TAKI (M.D.) is a healthcare provider. based in Hollywood, Florida. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 252499 (MA). The NPI Number for NIZAR H TAKI (M.D.) is 1164783551

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
NIZAR H TAKI (M.D.)
NPI
1164783551
Phone
(305) 933-4033
Address
2700 HOLLYWOOD BLVD
Enumeration Date
3 June 2012
Last Update Date
1 February 2022

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2604268117
Graduation Year
2012 (14 years ago)
PAC ID
8224337746
Group Practice PAC ID
3375504301
Professional Enrollment ID
I20250625001397
Address ID
IN468251604FO10021CTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

Provider Addresses for NIZAR H TAKI (M.D.)

  • 2700 HOLLYWOOD BLVD

    SUITE 200

    HOLLYWOOD, FL 330204808

    Phone: (305) 933-4033

    Type: Mailing

  • 915 MIDDLE RIVER DR STE 104A

    FORT LAUDERDALE, FL 333043559

    Phone: (305) 330-3223

    Fax: (754) 218-0825

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190402001902IOtolaryngologyMETBD
I20250625001397IOtolaryngologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes3027$0
99213Established patient office or other outpatient visit, 20-29 minutes2420$0
31575Diagnostic exam of voice box using a flexible endoscope2321$0
99203New patient office or other outpatient visit, 30-44 minutes2323$0
69210Removal of impacted ear wax1412$0
View full utilization report →

Insurance plans in this area (ZIP 33020)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375504301View full group profile
NameSpecialtyState
Nurse PractitionerIN
O T O L A R Y N G O L O G YIN
O T O L A R Y N G O L O G YIN
-IN
Qualified AudiologistIN
Qualified Speech Language PathologistIN
O T O L A R Y N G O L O G YIN
O T O L A R Y N G O L O G YIN
Nurse PractitionerIN
-IN

Reviews

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Frequently asked questions

What is NIZAR H TAKI (M.D.)'s NPI number?
NIZAR H TAKI (M.D.)'s NPI is 1164783551 — the number used across U.S. healthcare to identify this provider.
Would NIZAR H TAKI (M.D.) appear as active to a payer?
You can treat NIZAR H TAKI (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with NIZAR H TAKI (M.D.)?
NIZAR H TAKI (M.D.)'s record emphasizes Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NIZAR H TAKI (M.D.)?
Travel planning: use Hollywood, Florida as the reference point for NIZAR H TAKI (M.D.), then confirm.
When was this NPI issued?
Enumeration for NIZAR H TAKI (M.D.) is noted as June 3, 2012 where the registry provides it.

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