Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rayees Nizam, MD

Individual provider Gastroenterology Physician · NPI 1154375087

Rayees Nizam, MD is a Gastroenterology in Oswego, New York. Qualified in 1990, 36 years ago. Practices with Physician Care PC, a 77-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

105 County Route 45A
Oswego, NY 13126-6664
Phone: (315) 312-0089
Fax: (315) 312-0110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 204479 (NY)

Record details

NPI number1154375087
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESOctober 18, 2021
Certification dateOctober 18, 2021
Mailing address110 W 6th St, Oswego, NY 13126-2507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Physician Care Pc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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