Deepak G. Azad, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35511 Issued in KY

Practice address

3505 Charlevoix CT
Floyds Knobs, IN 47119-9761

Phone

(502) 216-2900

NPI assigned

Jul 23, 2006

Last updated

Oct 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, KY, VI3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apogee Medical Group Indiana PC

  • Internal Medicine Physician
  • Goshen, IN
  • NPI 1093973885
  Medicare reassignment NPD
• Franciscan Physician Network

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1225327984

  Internal Medicine

  Medicare reassignment NPD
• Cogent Healthcare of Kentucky, PSC

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1053362293
  Medicare reassignment NPD
• Governor Juan F. Luis Hospital & Medical Center

  • General Acute Care Hospital
  • Christiansted, St. Croix, VI
  • NPI 1972503647
  Medicare reassignment NPD
• Franciscan Physician Network

  • Clinic/Center
  • Lafayette, IN
  • NPI 1992543250
  NPD
• Governor Juan F. Luis Hospital & Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • St Croix, VI
  • NPI 1740238534
  NPD
• FMMG LLC

  • Family Medicine Physician
  • New Albany, IN
  • NPI 1184912370

  Internal Medicine

  NPD (past)
• Phoenix Emergency Services of Scott County LLC

  • Emergency Medicine Physician
  • Scottsburg, IN
  • NPI 1295784379
  NPD (past)
• Scott Memorial Hospital

  dba Scott Memorial Physicians Group

  • Critical Access Hospital
  • Scottsburg, IN
  • NPI 1497883367
  NPD (past)
• Scott Physician Group LLC

  • Orthopaedic Surgery Physician
  • Scottsburg, IN
  • NPI 1952639890
  NPD (past)
• Scottsburg Emergency Services, LLC

  • Nurse Practitioner
  • Scottsburg, IN
  • NPI 1396703062
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1083636930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 CHARLEVOIX CT",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199761",
            "telephone_number": "502-216-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CHARLEVOIX CT",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199761",
            "telephone_number": "502-216-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAD",
        "first_name": "DEEPAK",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "35511",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "IN",
            "license": "01043333",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200028800B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64880099",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Accesicare, LLC
• Accessicare Home Health LLC (Accessicare Home Health)
• Julie Adams, PHARMD
• Associates in Pediatric Therapy LLC
• Associates in Pediatric Therapy, LLC
• Keegan Bakus, DMD
• Abigail Jane Bartholomai, RPH
• Phoebe Bauer, DPT
• Lyle E Beard, MD
• Elizabeth Harlowe Becht, M.S. CCC-SLP

• Internal Medicine Physician in Floyds Knobs, IN
• Providers in Floyds Knobs, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.