Individual provider Active NPI

Syed Abdul-Aziz, MD

  • Cardiovascular Disease Physician
  • Belleville, IL
National Provider Identifier
1114906005
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036108734 Issued in IL
Practice address
180 S 3Rd St Ste 300
Belleville, IL 62220-1952
Phone
(618) 213-7933
Fax
(618) 213-7364
NPI assigned
Jan 10, 2006
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2005013891 MO
Specialist 174400000X 036-108734 IL
Cardiovascular Disease Physician 207RC0000X 036108734 IL Primary

Addresses

Primary practice location

180 S 3Rd St Ste 300
Belleville, IL 62220-1952

Mailing address

180 S 3Rd St Ste 300
Belleville, IL 62220-1952
Phone (618) 213-7933

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address syed.abdul-aziz.1@9559.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20060112000494 IL Practitioner - Cardiovascular Disease (Cardiology) 9234152588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Touchette Regional Hospital IncGroup PAC ID 7416843370, 46 clinicians

Practice addresses (Care Compare)

180 S 3Rd St
Suite 300
Belleville, IL 62220-1952
Phone (618) 213-7933

5900 Bond Ave
Cahokia Heights, IL 62207-2326
Phone (618) 332-3060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-108734ILMDSpecialist
036108734ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation Inc Current Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Mar 20, 2024 Accepting new patients
Southern Illinois Healthcare Foundation, Inc CurrentSince Mar 20, 2024 Accepting new patients
Touchette Regional Hospital Inc Cardiovascular Disease CurrentSince Jan 21, 2024 Accepting new patients
Touchette Regional Hospital, Inc. Past Accepting new patients
Heart Care Consultants, LLC Cardiovascular Disease Past Accepting new patients
Bi-State Cardiovascular Consultant PC Cardiovascular Disease PastSince Jan 9, 2018 Accepting new patients

Locations

180 S 3rd St
Ste 300
Belleville, IL 62220
Phone (618) 233-4187

180 S 3rd St
Ste 350
Belleville, IL 62220
Phone (618) 213-7933

211 S 3rd St
Belleville, IL 62220
Phone (618) 234-2700

2001 State St
Ste 250
East Saint Louis, IL 62205
Phone (618) 271-9191

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

2041 Goose Lake Rd
Sauget, IL 62206

2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFDECD
  • Direct secure messaging: syed.abdul-aziz.1@9559.direct.athenahealth.com

Organizations & group practices 7

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 7

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1114906005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S 3RD ST STE 300",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201952",
            "telephone_number": "618-213-7933",
            "fax_number": "618-213-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S 3RD ST STE 300",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201952",
            "telephone_number": "618-213-7933",
            "fax_number": "618-213-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL-AZIZ",
        "first_name": "SYED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2005013891",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-108734",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036108734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4600 Memorial Dr",
            "address_2": "Ste. W-1",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1404 Cross St Ste 2940",
            "city": "Shiloh",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622692988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "syed.abdul-aziz.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "180 S 3rd St Ste 300",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622201952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.