NPIMap

Individual provider Active NPI

Azim Saquib, MD

  • Cardiovascular Disease Physician
  • Las Cruces, NM
National Provider Identifier
1023096096
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD2013-0055 Issued in NM
Practice address
1160 Mall Dr
Las Cruces, NM 88011-8128
Phone
(575) 521-3270
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036114868 IL
Cardiovascular Disease Physician 207RC0000X MD2013-0055 NM Primary

Addresses

Primary practice location

1160 Mall Dr
Las Cruces, NM 88011-8128

Mailing address

PO Box 6310
Las Cruces, NM 88006-6310
Phone (575) 521-3270

Other identifiers 2

IdentifierTypeStateIssuer
0010032057OtherILBCBS OF IL
0361148682MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180719001618 WV Practitioner - Cardiovascular Disease (Cardiology) 6204841877 Reassigns benefits to 1 organization
I20200622000436 PA Practitioner - Cardiovascular Disease (Cardiology) 6204841877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

740 High St
Suite 2001
Williamsport, PA 17701-3102
Phone (570) 321-2800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036114868ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services Cardiovascular Disease CurrentSince Oct 15, 2025 Accepting new patients
Wayne Memorial Hospital CurrentSince Mar 13, 2020 Accepting new patients
Wayne Memorial Hospital CurrentSince Mar 13, 2020 Accepting new patients
Camc Greenbrier Valley Medical Center, Inc. CurrentSince Dec 21, 2023 Accepting new patients
Camc Greenbrier Valley Medical Center Inc Cardiovascular Disease CurrentSince Dec 21, 2023 Accepting new patients
Susquehanna Physician Services CurrentSince Oct 15, 2025 Accepting new patients
Memorial Management Inc Past Accepting new patients
Oak Hill Clinic Corp Past Accepting new patients
Memorial Management Inc Past Accepting new patients
River to River Heart Group, LLC Cardiovascular Disease PastSince Sep 1, 2017 Accepting new patients

Locations

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

740 High St
Ste 2001
Williamsport, PA 17701
Phone (570) 321-2805

3738 Davis Stuart Rd
Lewisburg, WV 24901
Phone (304) 645-3207

176 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 645-6083

231 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 645-0870

1521 Maplewood Ave
Ronceverte, WV 24970

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

Organizations & group practices 10

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 9

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1023096096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6310",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880066310",
            "telephone_number": "575-521-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 MALL DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118128",
            "telephone_number": "575-521-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAQUIB",
        "first_name": "AZIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036114868",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "MD2013-0055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "0010032057",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361148682",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.