Individual provider Active NPI

George P Azar Jr., M.D., PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1104888429
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME0056075 Issued in FL
Practice address
6333 N Federal Hwy
Suite 270
Ft Lauderdale, FL 33308-1907
Phone
(954) 771-6047
Fax
(954) 771-2927
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME0056075 FL Primary

Addresses

Primary practice location

6333 N Federal Hwy
Suite 270
Ft Lauderdale, FL 33308-1907

Mailing address

6333 N Federal Hwy
Suite 270
Ft Lauderdale, FL 33308-1907
Phone (954) 771-6047

Other identifiers 1

IdentifierTypeStateIssuer
051568000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070217000013 FL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5698877967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6333 N Federal Hwy
Suite 270
Fort Lauderdale, FL 33308-1414
Phone (954) 771-6047

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0056075FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lung Disease Specialists Corp CurrentSince Jan 1, 2024 Accepting new patients
KND Development 59 LLC Current Accepting new patients
George P Azar Jr MD PA CurrentSince Feb 1, 2007 Accepting new patients
KND Development 59, LLC CurrentSince Feb 19, 2011 Accepting new patients
KND Development 59, LLC CurrentSince Feb 19, 2011 Accepting new patients

Locations

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

6333 N Federal Hwy
Ste 270
Ft Lauderdale, FL 33308
Phone (954) 771-6047

6405 N Federal Hwy
Ste 300B
Ft Lauderdale, FL 33308
Phone (954) 771-0692

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

Organizations & group practices 5

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.

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1104888429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY",
            "address_2": "SUITE 270",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081907",
            "telephone_number": "954-771-6047",
            "fax_number": "954-771-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY",
            "address_2": "SUITE 270",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081907",
            "telephone_number": "954-771-6047",
            "fax_number": "954-771-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAR",
        "first_name": "GEORGE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D., PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME0056075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051568000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.