Individual provider Active NPI

Azima Rasiwala, D.O

  • Emergency Medicine Physician
  • Buffalo, NY
National Provider Identifier
1003253378
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS18254 Issued in FL
Practice address
2157 Main St
Buffalo, NY 14214-2648
Phone
(716) 862-1840
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 280021 NY
Family Medicine Physician 207Q00000X 280021 NY
Internal Medicine Physician 207R00000X 280021 NY
Hospitalist Physician 208M00000X 280021 NY
Emergency Medicine Physician 207P00000X OS18254 FL Primary

Addresses

Primary practice location

2157 Main St
Buffalo, NY 14214-2648

Mailing address

2157 Main St
Buffalo, NY 14214-2648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN, AL, MS4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20211101002931 FL Practitioner - Family PracticePractitioner - Emergency Medicine 9436452554 Reassigns benefits to 4 organizations
I20240611000293 MN Practitioner - Emergency Medicine 9436452554 Reassigns benefits to 1 organization
I20250109003638 AL Practitioner - Family Practice 9436452554 Reassigns benefits to 1 organization
I20260519003171 MS Practitioner - Emergency Medicine 9436452554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floridian Emergency Specialists LLCGroup PAC ID 3375682891, 19 clinicians
Jackson HB Medical Services LLCGroup PAC ID 6103273131, 50 clinicians
Flowers HB Medical Services LLCGroup PAC ID 6305290990, 139 clinicians

Practice addresses (Care Compare)

151 E Redstone Ave
Crestview, FL 32539-5352
Phone (850) 689-8100

2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-1395

4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000

Hospital & facility affiliations

  • Sanford Bemidji Medical Center Hospital, Bemidji, MN, CCN 240100
  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122
  • Flowers Hospital Hospital, Dothan, AL, CCN 010055
  • Merit Health River Region Hospital, Vicksburg, MS, CCN 250031

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
74.25
Promoting interoperability
100
Improvement activities
40
Cost
76.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa HB Medical Services LLC CurrentSince Mar 10, 2026 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Apr 23, 2024 Accepting new patients
Floridian Emergency Specialists LLC Emergency Medicine Current Accepting new patients
Flowers HB Medical Services LLC Emergency Medicine CurrentSince Nov 17, 2024 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Jun 30, 2023 Accepting new patients
Santa Rosa HB Medical Services LLC Emergency Medicine CurrentSince Mar 10, 2026 Accepting new patients
Sanford Health of Northern Minnesota Family Medicine CurrentSince Apr 23, 2024 Accepting new patients
Emerald Coast Management Solutions LLC Emergency Medicine CurrentSince Mar 27, 2025 Accepting new patients
Floridian Emergency Specialists, LLC Emergency Medicine CurrentSince Oct 18, 2021 Accepting new patients
Sanford Health of Northern Minnesota Family Medicine Current Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

4250 Woodbine Rd
Pace, FL 32571
Phone (850) 626-7761

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1523/brand/1/csg/23/fhir/r4

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1003253378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142648",
            "telephone_number": "716-862-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASIWALA",
        "first_name": "AZIMA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "280021",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "280021",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "280021",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "280021",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS18254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.