Active NPI
Abul K Azad, MD
- Pulmonary Disease Physician
- Schenectady, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 204594
- Practice address
- 2125 River Road
Suite 203
Schenectady, NY 12309 - Phone
- (518) 831-8530
- Fax
- (518) 831-8545
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 204594 | NY | |
| Hospitalist Physician | 208M00000X | 204594 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 204594 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | 204594 | NY |
Addresses
Primary practice location
2125 River Road
Suite 203
Schenectady, NY 12309
Mailing address
711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700
Other practice location 1
600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3221
Other practice location 2
315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550
Other practice location 3
2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300
Other practice location 4
1300 Massachusetts Ave
Troy, NY 12180-1628
Phone (518) 268-5234
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01759833 | Medicaid | NY | |
| 10020530 | Other | NY | CDPHP |
| 135032 | Other | NY | GHI/HMO |
| 200852 | Other | NY | SENIOR WHOLE HEALTH |
| 6022794 | Other | NY | MVP HEALTHCARE |
| 7542070 | Other | NY | AETNA |
| 28R331 | Other | NY | EMPIRE BC |
| 000471066006 | Other | NY | BSNENY |
| 090226000061 | Other | NY | FIDELIS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2125 River Rd
Suite 203
Schenectady, NY 12309-1110
Phone (518) 381-1800
319 S Manning Blvd
Suite 116
Albany, NY 12208-1744
Phone (518) 459-1800
Hospital & facility affiliations
- St Peter'S Hospital
- Ellis Hospital
- Samaritan Hospital of Troy, New York
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204594 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PLLC | Internal Medicine | Current | Accepting new patients |
| St. Peter'S Hospital of the City of Albany | Internal Medicine | Current | Accepting new patients |
| Samaritan Hospital of Troy, New York | Internal Medicine | Current | Accepting new patients |
| St. Peter'S Hospital of the City of Albany | Internal Medicine | Current | Accepting new patients |
| Community Care Physicians, PC | Internal Medicine | Past | Accepting new patients |
| Community Care Physicians, PLLC | Past | Accepting new patients | |
| Integrated Medicine, PC | Internal Medicine | Past | Accepting new patients |
Locations
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
501 New Karner Rd
Ste 1A
Albany, NY 12205
Phone (518) 452-1337
600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331
47 New Scotland Ave
#139
Albany, NY 12208
Phone (518) 262-3773
20 Prospect St
Ste 106
Ballston Spa, NY 12020
Phone (518) 855-3755
6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900
711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742
711 Troy Schenectady Rd
Ste 210
Latham, NY 12110
2125 River Rd
Ste 203
Schenectady, NY 12309
Phone (518) 381-1800
3732 Carman Rd
Schenectady, NY 12303
Phone (518) 356-4132
1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Interoperability endpoints
- aazad789215@direct.trinity-health.org
- abulazad@ccp.allscriptsdirect.net
- https://api.platform.athenahealth.com/3143/brand/1/csg/1/fhir/r4
- drazad@cpiphysicians.medentdirect.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
-
- Pulmonary Disease Physician
- Albany, NY
- NPI 1770646804
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
Internal Medicine
-
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
Internal Medicine
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Internal Medicine
-
- Internal Medicine Physician
- Latham, NY
- NPI 1023380714
-
- Family Medicine Physician
- Ballston Spa, NY
- NPI 1548541246
-
- Internal Medicine Physician
- Albany, NY
- NPI 1366561516
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1003979121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 203",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102461",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 RIVER ROAD",
"address_2": "SUITE 203",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "12309",
"telephone_number": "518-831-8530",
"fax_number": "518-831-8545"
}
],
"practiceLocations": [
{
"address_1": "600 Northern Blvd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122041004",
"country_code": "US",
"telephone_number": "518-471-3221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 S Manning Blvd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122081707",
"country_code": "US",
"telephone_number": "518-525-1550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2215 Burdett Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802466",
"country_code": "US",
"telephone_number": "518-271-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 Massachusetts Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121801628",
"country_code": "US",
"telephone_number": "518-268-5234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AZAD",
"first_name": "ABUL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "204594",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "204594",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "204594",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "204594",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01759833",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10020530",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI/HMO",
"identifier": "135032",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR WHOLE HEALTH",
"identifier": "200852",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "6022794",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7542070",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "28R331",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000471066006",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "090226000061",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP- Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "315 S Manning Blvd",
"city": "Albany",
"state": "NY",
"country_code": "US",
"postal_code": "122081707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.