NIZAR GHAZI AL-NIMRI, MD — NPI 1679738678 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1679738678

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208M00000X (CMS C6)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist

Box 32 Service Location & ZIP+4

1200 E PECAN ST, ALTUS, OK, 73521-6192

✓ 9-Digit EDI 837 ZIP+4 (73521-6192)

Practice Phone & Referral Fax

(580) 379-5000

Fax: (580) 379-5999

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1679738678 (NIZAR GHAZI AL-NIMRI, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1679738678` (NPI-1 Individual Practitioner)
Provider / Legal Name	NIZAR GHAZI AL-NIMRI, MD
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist NUCC Code: `208M00000X` (Hospitalist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1200 E PECAN ST, ALTUS, OK, 73521-6192
Practice Telephone / Fax	Tel: (580) 379-5000 \| Fax: (580) 379-5999
Administrative Mailing Address	1200 E PECAN ST, ALTUS, OK, 73521-6192
Enumeration & Last Sync	Enumerated: 2008-07-20 \| CMS Record Updated: 2023-11-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1200 E PECAN ST, ALTUS, OK, 73521-6192

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Plain-English Taxonomy & CMS Crosswalk (208M00000X)

What Does Taxonomy Code 208M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208M00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C6 (Physician/Hospitalist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Hospitalist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (NIZAR GHAZI AL-NIMRI, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: MO \| License: `2009037641` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: OK \| License: `41197` \| Primary: Secondary
`208M00000X` — Hospitalist Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist	State: MO \| License: `2009037641` \| Primary: Secondary
`208M00000X` — Hospitalist Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist	State: OK \| License: `41197` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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NIZAR GHAZI AL-NIMRI, MD (NPI #1679738678)