AMIR K. NICKNAM (M.D.) – Occupational Medicine Physician, NPI 1063530434

AMIR K. NICKNAM (M.D.) is a healthcare provider. based in Addison, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 11368 (NV). The NPI Number for AMIR K. NICKNAM (M.D.) is 1063530434

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
AMIR K. NICKNAM (M.D.)
NPI
1063530434
Phone
(972) 364-8000
Address
5080 SPECTRUM DR
Enumeration Date
26 March 2007
Last Update Date
5 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023801712
Graduation Year
1999 (27 years ago)
PAC ID
4587632468
Group Practice PAC ID
1052452422
Professional Enrollment ID
I20081016000293
Address ID
NV890323213NO4060XBLVD601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

992 FAMILY PRACTICE in NV

Provider Addresses for AMIR K. NICKNAM (M.D.)

  • 5080 SPECTRUM DR

    SUITE 1200 WEST

    ADDISON, TX 750014648

    Phone: (972) 364-8000

    Type: Mailing

  • 151 W BROOKS AVE

    SUITE A

    NORTH LAS VEGAS, NV 890303900

    Phone: (615) 778-4066

    Fax: (615) 778-9114

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $180.

Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.

Last reported payment date: 2024-01-30 • Largest payer in this snapshot: Lilly USA, LLC ($122).

Total Amount

$180

General + Research + Ownership

Payments

5

Total payment records

General Amount

$180

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-30

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: 2008-10-16

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
I20081016000293IFamily PracticeNVTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14859$0
82962Blood glucose (sugar) test performed by hand-held instrument3919$0
99213Established patient office or other outpatient visit, 20-29 minutes2118$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1616$0
View full utilization report →

Insurance plans in this area (ZIP 75001)

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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: 1052452422View full group profile
NameSpecialtyState
-NV
Family PracticeNV

Reviews

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Frequently asked questions

Does AMIR K. NICKNAM (M.D.) have a public NPI I can cite?
Public records show AMIR K. NICKNAM (M.D.) under NPI 1063530434.
Is AMIR K. NICKNAM (M.D.)'s NPI status active today?
Active status means AMIR K. NICKNAM (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret AMIR K. NICKNAM (M.D.)'s specialty?
The extract shows Occupational Medicine Physician for AMIR K. NICKNAM (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit AMIR K. NICKNAM (M.D.) in Addison, Texas?
For routing, start with Addison, Texas for AMIR K. NICKNAM (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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