SCOTT SALAM KIZY (M.D.) – Neurological Surgery Physician, NPI 1497199715

SCOTT SALAM KIZY (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in SURGICAL ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301507664 (MI). The NPI Number for SCOTT SALAM KIZY (M.D.) is 1497199715

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT SALAM KIZY (M.D.)
NPI
1497199715
Phone
(612) 625-3141
Address
420 DELEWARE ST. SE
Enumeration Date
18 April 2013
Last Update Date
16 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
3139162600
Graduation Year
2013 (13 years ago)
PAC ID
6709180573
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20220824000707
Address ID
MI482022608DE2799XBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:13State licenses:1Digital endpointsOther names

25 SURGICAL ONCOLOGY in MN

Provider Addresses for SCOTT SALAM KIZY (M.D.)

  • 420 DELEWARE ST. SE

    MAYO MAIL CODE 195

    MINNEAPOLIS, MN 55455

    Phone: (612) 625-3141

    Fax: (612) 626-0654

    Type: Mailing

  • 640 JACKSON ST

    SAINT PAUL, MN 551012502

    Phone: (651) 495-6600

    Fax: (952) 883-9677

    Type: Location

  • 4100 BEECHER RD

    FLINT, MI 485323661

    Phone: (810) 342-3800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-02-09 • Largest payer in this snapshot: Checkpoint Surgical, Inc ($21).

Total Amount

$51

General + Research + Ownership

Payments

3

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-08-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220824000707ISurgical OncologyMITBD

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
99205New patient office or other outpatient visit, 60-74 minutes2727$0
99215Established patient office or other outpatient visit, 40-54 minutes2615$0
99214Established patient office or other outpatient visit, 30-39 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 55455)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

What is SCOTT SALAM KIZY (M.D.)'s NPI number?
SCOTT SALAM KIZY (M.D.)'s NPI is 1497199715 — the number used across U.S. healthcare to identify this provider.
Is SCOTT SALAM KIZY (M.D.) still an active registrant?
SCOTT SALAM KIZY (M.D.) carries an active NPI according to the public dataset.
How would a patient describe SCOTT SALAM KIZY (M.D.)'s focus?
For SCOTT SALAM KIZY (M.D.), the primary taxonomy reads as Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Is SCOTT SALAM KIZY (M.D.) associated with Minneapolis?
Public fields place SCOTT SALAM KIZY (M.D.) around Minneapolis, Minnesota. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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