Individual provider Active NPI

Munawar Azam, MD

  • Internal Medicine Physician
  • Warwick, RI
National Provider Identifier
1104859271
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD09436 Issued in RI
Practice address
2191 Post Rd
Warwick, RI 02886-1532
Phone
(401) 732-3066
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD09436 RI Primary

Addresses

Primary practice location

2191 Post Rd
Warwick, RI 02886-1532

Mailing address

2191 Post Rd
Warwick, RI 02886-1532
Phone (401) 732-3066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20040831000258 RI Practitioner - Internal Medicine 3678548955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1407 S County TRL
Suite 422
E Greenwich, RI 02818-1679
Phone (401) 398-2656

Hospital & facility affiliations

  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Your Health Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients

Locations

1407 S County Trl
East Greenwich, RI 02818
Phone (401) 886-4040

1407 S County Trl
Ste 422
East Greenwich, RI 02818
Phone (401) 398-2656

Interoperability endpoints

  • Direct secure messaging: mazam@direct.carene.org

Organizations & group practices 1

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 6

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104859271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861532",
            "telephone_number": "401-732-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861532",
            "telephone_number": "401-732-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAM",
        "first_name": "MUNAWAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD09436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.