Kenneth Najeeb Azan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R6443 Issued in MO

Practice address

1718 S Ingram Ave
Suite C
Sedalia, MO 65301-7505

Phone

(660) 827-2535

Fax

(660) 826-5228

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Specialty

Internal Medicine

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bothwell Regional Health CenterGroup PAC ID 6103714126, 109 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bothwell Regional Health Center Hospital, Sedalia, MO, CCN 260009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bothwell Regional Health Center

  • General Acute Care Hospital
  • Sedalia, MO
  • NPI 1235102690
  Medicare reassignment Care Compare group NPD
• Bothwell Regional Health Center

  • Rural Health Clinic/Center
  • Cole Camp, MO
  • NPI 1497705313
  NPD

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

• Bothwell Regional Health Center

  • General Acute Care Hospital
  • Sedalia, MO
  • NPI 1235102690
  Care Compare affiliation
• Bothwell Regional Health Center

  • Rural Health Clinic/Center
  • Cole Camp, MO
  • NPI 1497705313

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1003843848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 S INGRAM AVE",
            "address_2": "SUITE C",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017505",
            "telephone_number": "660-827-2535",
            "fax_number": "660-826-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 S INGRAM AVE",
            "address_2": "SUITE C",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017505",
            "telephone_number": "660-827-2535",
            "fax_number": "660-826-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAN",
        "first_name": "KENNETH",
        "middle_name": "NAJEEB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R6443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200112605",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "111077637",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KC",
            "identifier": "06594013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirstin Arnold, LAT, ATC
• Whitney D Arnold, PHARM.D.
• Mirna Asham, MD
• Karla Damille Aubrey, RRT-NPS
• Abraham N Azan, MD
• Nohaud Naseef Azan, DDS
• Laura Lynn Aziere, MS, PLPC
• Back in Action Chiropractic LLC
• Jeffrey E Backe
• Barry Philip Backer, OTR

• Internal Medicine Physician in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.