Syed Abdul-Aziz, MD
Individual provider Active NPI Cardiovascular Disease Physician · Belleville, IL
NPI 1114906005 · NPPES record last updated Jan 11, 2024
Key facts
- NPI
- 1114906005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 036108734 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Illinois Healthcare Foundation Inc
Touchette Regional Hospital Inc
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
- Touchette Regional Hospital Inc
- Memorial Hospital
- Sparta Community Hospital
- HSHS St Elizabeth'S Hospital
- Red Bud Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060112000494 | IL | Practitioner - Cardiovascular Disease (Cardiology) | 9234152588 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-108734 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Touchette Regional Hospital Inc | Cardiovascular Disease | Current |
Accepting new patients |
| Southern Illinois Healthcare Foundation, Inc | Current |
Accepting new patients | |
| Southern Illinois Healthcare Foundation Inc | Current |
Accepting new patients | |
| Southern Illinois Healthcare Foundation Inc | Current | 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 | Past |
Accepting new patients |
Locations
211 S 3rd St
Belleville, IL 62220
Phone (618) 234-2700
180 S 3rd St
Ste 300
Belleville, IL 62220
Phone (618) 213-7933
180 S 3rd St
Ste 350
Belleville, IL 62220
Phone (618) 213-7933
6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740
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
2001 State St
East St Louis, IL 62205
Phone (618) 271-0204
2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473
2041 Goose Lake Rd
Sauget, IL 62206
Interoperability endpoints
- syed.abdul-aziz.1@9559.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/GFDECD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2005013891 | MO | |
| Specialist | 174400000X | 036-108734 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036108734 | IL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-108734 | Medicaid | IL | |
| 1114906005 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 |
Other providers in Belleville, IL
- 6 Star M-Shift LLC
- A 2 Z Care Solutions
- A&D Transport Services LLC
- Taylor Aarns
- Terry Lee Aaron
- Nabella Doreen Abedin
- Wallace K Abel
- Chloe Alexandra Abelev
- Julie Ann Abeln
- Ace Medical Services LLC
All providers in Belleville, IL · Cardiovascular Disease Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.