Individual provider Active NPI

Ibrahim W Azer, MD

  • Surgery Physician
  • Merced, CA
National Provider Identifier
1093979205
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A151984 Issued in CA
Practice address
450 E Yosemite Ave Ste D
Merced, CA 95340-8429
Phone
(350) 225-3602
Fax
(909) 752-8719
NPI assigned
Jul 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A151984 CA Primary

Addresses

Primary practice location

450 E Yosemite Ave Ste D
Merced, CA 95340-8429

Mailing address

450 E Yosemite Ave Ste D
Merced, CA 95340-8429
Phone (350) 225-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180514001339 CA Practitioner - General Surgery 1456494236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul J Wisniewski DO IncGroup PAC ID 5092240606, 19 clinicians

Practice addresses (Care Compare)

18523 Corwin Rd
Suite a
Apple Valley, CA 92307-2300
Phone (407) 335-6950

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Merced, CA, CCN 050444

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151984CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul J Wisniewski DO Inc Surgery CurrentSince Dec 24, 2025 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Kingsbrook Medical Associates PC Past Accepting new patients
Kingsbrook Medical Associates, PC Past Accepting new patients

Locations

18523 Corwin Rd
Ste A
Apple Valley, CA 92307
Phone (760) 946-3876

450 E Yosemite Ave
Ste D
Merced, CA 95340
Phone (209) 722-3924

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1093979205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E YOSEMITE AVE STE D",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408429",
            "telephone_number": "350-225-3602",
            "fax_number": "909-752-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E YOSEMITE AVE STE D",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408429",
            "telephone_number": "350-225-3602",
            "fax_number": "909-752-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZER",
        "first_name": "IBRAHIM",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A151984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.