DR. NAUMAN NISAR (MD) – Clinical Pathology/Laboratory Medicine Physician, NPI 1962486530
Clinical Pathology/Laboratory Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
573 PATHOLOGY in MI
Provider Addresses for DR. NAUMAN NISAR (MD)
PO BOX 44008
JACKSONVILLE, FL 322314008
Phone: (904) 244-4387
Fax: (904) 244-4060
Type: Mailing
2215 FULLER RD
ANN ARBOR, MI 481052303
Phone: (734) 845-3427
Fax: (734) 845-3207
Type: Location
UF Health Jacksonville, 655, West 8th Street, Jacksonville, Duval County, Florida, 32209, United States
JACKSONVILLE, FL 322096511
Phone: (904) 244-4387
Type: Location
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: 2007-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070205000637 | I | Pathology | SD | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32231)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | FL | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 149 | 139 |
| PATHOLOGY | FL | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 15 | 12 |
| PATHOLOGY | FL | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 39 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | SD | |
| Orthopedic Surgery, Hand Surgery, Orthopedic Surgery | FL | |
| Internal Medicine | SD | |
| A N E S T H E S I O L O G Y | NV | |
| Certified Registered Nurse Anesthetist (Crna) | SD | |
| Physical Therapist In Private Practice | SD | |
| A N E S T H E S I O L O G Y | NY | |
| Nurse Practitioner | SD | |
| Internal Medicine | TX | |
| - | SD |
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