NPIMap

Individual provider Active NPI

Crystal Nnenne Azu, MD

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1114457769
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2024030894 Issued in MO
Practice address
4921 Parkview PL
Div Im Cardiology, Ste 8B
Saint Louis, MO 63110-1032
Phone
(314) 362-1291
Fax
(314) 362-4278
NPI assigned
Jun 15, 2017
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2024030894 MO
Cardiovascular Disease Physician 207RC0000X 2024030894 MO Primary
Internal Medicine Physician 207R00000X 2024030894 MO

Addresses

Primary practice location

4921 Parkview PL
Div Im Cardiology, Ste 8B
Saint Louis, MO 63110-1032

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-1291

Other identifiers 1

IdentifierTypeStateIssuer
200146372MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220317002274 NC Practitioner - Internal Medicine 3476822321 Reassigns benefits to 2 organizations
I20240917004643 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Diagnostic Radiology 3476822321 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Diagnostic Radiology, Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, shared by 49 NPIs, 2,968 clinicians

Practice addresses (Care Compare)

12634 Olive Blvd
Saint Louis, MO 63141-6337
Phone (314) 996-8000

510 S Kingshighway Blvd
Saint Louis, MO 63110-1016
Phone 31436272001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Care Institute LLC CurrentSince Sep 1, 2024 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 16, 2024 Accepting new patients
Miracl, LLC CurrentSince Oct 9, 2024 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Apr 1, 2022 Accepting new patients
Heart Care Institute LLC CurrentSince Sep 1, 2024 Accepting new patients
Washington University Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Washington University CurrentSince Sep 1, 2024 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Internal Medicine CurrentSince Feb 16, 2024 Accepting new patients
Moses Cone Physician Services, Inc. Internal Medicine Current Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Internal Medicine Current Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
Washington University Past Accepting new patients

Locations

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

12634 Olive Blvd
Saint Louis, MO 63141
Phone (314) 434-0600

1020 N Mason Rd
Ste 100
Saint Louis, MO 63141
Phone (314) 996-3295

4921 Parkview Pl
Ste 8B
Saint Louis, MO 63110
Phone (314) 454-8917

8 Millstone Campus Dr
Saint Louis, MO 63146
Phone (314) 273-4375

1020 N Mason Rd
Ste 210
Saint Louis, MO 63141
Phone (314) 996-3162

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 12

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 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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1114457769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-1291",
            "fax_number": "314-362-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "DIV IM CARDIOLOGY, STE 8B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-362-1291",
            "fax_number": "314-362-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZU",
        "first_name": "CRYSTAL",
        "middle_name": "NNENNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2025-04-15",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2024030894",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2024030894",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2024030894",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200146372",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4921 Parkview Pl",
            "address_2": "Div IM Cardiology, Ste 8B",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.