Individual provider Active NPI

Anam Azeem, M.D.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1043501232
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
285722 Issued in NY
Practice address
332 E 14TH St
New York, NY 10003-4243
Phone
(212) 481-3333
NPI assigned
Apr 22, 2011
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X R6144 TX
Physical Medicine & Rehabilitation Physician 208100000X 285722 NY Primary

Addresses

Primary practice location

332 E 14TH St
New York, NY 10003-4243

Mailing address

6404 Del Norte LN
Dallas, TX 75225-2617
Phone (214) 477-9121

Other practice location 1

10001 Chester Avenue
Apartment 216
Cleveland, OH 44106
Phone (214) 477-9121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200828000287 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 9537586086 Reassigns benefits to 1 organization
I20240618002486 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 9537586086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians
Imed Physician Network, Inc.Group PAC ID 6608103155, 45 clinicians

Practice addresses (Care Compare)

2000 FM
Midlothian, TX 76065-6559
Phone (469) 856-2476

2700 W Pleasant Run Rd
Suite 340
Lancaster, TX 75146-1074
Phone (469) 284-0782

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.34 of 100Reported as group
Quality
59.43
Improvement activities
40
Cost
72.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
285722NYMDPhysical Medicine & Rehabilitation Physician
R6144TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imed Physician Network, Inc. CurrentSince Jul 1, 2024 Accepting new patients
14 Street Medical, PC CurrentSince Jun 1, 2020 Accepting new patients

Locations

174 Nassau St
Princeton, NJ 08542
Phone (917) 488-4482

4211 Cedar Springs Rd
Ste 200
Dallas, TX 75219
Phone (214) 520-8833

8100 John W Carpenter Fwy
Ste 150
Dallas, TX 75247
Phone (972) 672-4895

13988 Diplomat Dr
Ste 100C
Farmers Branch, TX 75234
Phone (972) 210-0033

117 Jane Ln
Hillsboro, TX 76645
Phone (254) 582-8006

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

2700 W Pleasant Run Rd
Ste 370
Lancaster, TX 75146
Phone (469) 206-4515

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: anam.azeem.1@13555.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13555/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1043501232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 DEL NORTE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752252617",
            "telephone_number": "214-477-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034243",
            "telephone_number": "212-481-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10001 Chester Avenue",
            "address_2": "Apartment 216",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44106",
            "country_code": "US",
            "telephone_number": "214-477-9121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZEEM",
        "first_name": "ANAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R6144",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "285722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.