Individual provider Active NPI

Saiyyed Oomer Aziem, D.O.

  • Cardiovascular Disease Physician
  • Elkin, NC
National Provider Identifier
1073662888
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2013-02035 Issued in NC
Practice address
100 Johnson Ridge Medical Park
Elkin, NC 28621-2400
Phone
(336) 526-3005
Fax
(336) 526-3011
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 238246 MA
Cardiovascular Disease Physician 207RC0000X 2013-02035 NC Primary

Addresses

Primary practice location

100 Johnson Ridge Medical Park
Elkin, NC 28621-2400

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 526-3005

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address saziem99186@direct.novanthealth.org
Direct Messaging Address saziem283060@direct.vidanthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20140318000500 NC Practitioner - Cardiovascular Disease (Cardiology) 2163569203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Rowan University School of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7270

Hospital & facility affiliations

  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238246MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Jul 12, 2021 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Jul 12, 2021 Accepting new patients
Wake Pet Services LLC CurrentSince Dec 7, 2021 Accepting new patients
Wakemed Specialists Group, LLC Cardiovascular Disease Current Accepting new patients

Locations

300 Keisler Dr
Cary, NC 27518
Phone (919) 230-4434

210 Ashville Ave
Ste 120
Cary, NC 27518
Phone (919) 350-6513

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380

8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953

Interoperability endpoints

  • Direct secure messaging: saziem99186@direct.novanthealth.org

Organizations & group practices 4

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 2

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1073662888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-526-3005",
            "fax_number": "336-526-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JOHNSON RIDGE MEDICAL PARK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212400",
            "telephone_number": "336-526-3005",
            "fax_number": "336-526-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIEM",
        "first_name": "SAIYYED",
        "middle_name": "OOMER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "238246",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2013-02035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "saziem99186@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "100 Johnson Ridge Medical Park",
            "city": "Elkin",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286212400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "saziem283060@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkin, NC

Sources for this page

Verify at the official NPI Registry.