Samreen Azeem, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200601349 Issued in NC

Practice address

5233 Sunset Lake Rd
Holly Springs, NC 27540-3793

Phone

(919) 387-8885

Fax

(919) 387-8861

NPI assigned

Aug 29, 2006

Last updated

Jan 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of North Carolina at Chapel Hill School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Well Care Home Health of the Southern Triangle, Inc. Home health agency, Holly Springs, NC, CCN 347336

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BDIBBA/Endpoint/BDIBBA

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.

• Triangle Family Medicine, PA

  • Family Medicine Physician
  • Holly Springs, NC
  • NPI 1184926024
  Medicare reassignment NPD Authorized official
• Advanced Radiation Oncology Medical Group, Inc.

  • Radiation Oncology Physician
  • West Covina, CA
  • NPI 1720266075
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Well Care Home Health of the Southern Triangle, Inc.

  • Home Health Agency
  • Holly Springs, NC
  • NPI 1508418005
  Care Compare affiliation

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1093823874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 SUNSET LAKE RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275403793",
            "telephone_number": "919-387-8885",
            "fax_number": "919-387-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 SUNSET LAKE RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275403793",
            "telephone_number": "919-387-8885",
            "fax_number": "919-387-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEEM",
        "first_name": "SAMREEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200601349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associated Urologists of North Carolina, PA (Aunc)
• Daniel Atkin, D.C.
• Anna Au
• Geert Audiens, P.T.
• Awakenings Infusion Center of North Carolina, PLLC
• Back in Action of Holly Springs, Inc
• Taryn Baer-Shalev, MD MPH
• Janet N Baglia
• Lawanda F Bailey-Rayner, DPM
• April Dawn Bailey, PA-C

• Family Medicine Physician in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.

Verify at the official NPI Registry.