Individual Healthcare Provider
Nisreen Shabbir Ezuddin, MD
Provider's NPPES record last updated: August 13, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1073017174
- Primary Specialty
- Radiology — Vascular & Interventional Radiology
- Practice Location
- North Miami Beach, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 7:11 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Radiology
Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Taxonomy code 2085R0204X Radiology
Diagnostic Radiology
Allopathic & Osteopathic Physicians
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Taxonomy code 2085R0202XStudent in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Radiology (Missouri)
- 2025039391
- Radiology (Missouri)
- 2025039391
- Radiology (Kansas)
- 0451790
- Radiology (Kansas)
- 0451790
- Radiology (Florida)
- ME146753
Practice Locations
Practice Location
160 Nw 170th St
North Miami Beach, Florida 33169-5521
Phone: (305) 651-1100
Additional Practice Location
5830 Nw Barry Rd
Kansas City, Missouri 64154-2778
Phone: (816) 932-2549
Fax: (816) 932-3939
Additional Practice Location
1611 Nw 12th Ave
Miami, Florida 33136-1005
Phone: (305) 585-1280
Additional Practice Location
1201 S Grand Blvd
Saint Louis, Missouri 63104-1016
Phone: (314) 617-2000
Additional Practice Location
12300 Metcalf Ave
Overland Park, Kansas 66213-1324
Phone: (816) 932-2549
Fax: (816) 932-3939
Record Information
- Enumeration Date
- March 22, 2018
- Provider's NPPES Record Last Updated
- August 13, 2026
- Certification Date
- August 13, 2026
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue