Active NPI
William Ndekoum Azie, MD
- Emergency Medicine Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101234970
- Practice address
- 5801 Bremo Rd
St Mary's Hospital
Richmond, VA 23226-1907 - Phone
- (804) 287-7066
- Fax
- (804) 673-9531
- NPI assigned
- May 3, 2006
- Last updated
- Oct 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101234970 | VA | Primary |
Addresses
Primary practice location
5801 Bremo Rd
St Mary's Hospital
Richmond, VA 23226-1907
Mailing address
5801 Bremo Rd
Attention Sara Waskin/ Cvea
Richmond, VA 23226-1907
Phone (804) 287-7066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010018358 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101234970 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Commonwealth Emergency Physicians PC | Past | Accepting new patients | |
| St Francis Emergency Associates Inc | Emergency Medicine | Past | Accepting new patients |
| Commonwealth Emergency Physicians PC | Emergency Medicine | Past | Accepting new patients |
| Virginia Emergency Associates Inc | Emergency Medicine | Past | Accepting new patients |
| Doctors for Emergency Service | Emergency Medicine | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1114985371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 BREMO RD",
"address_2": "ATTENTION SARA WASKIN/ CVEA",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261907",
"telephone_number": "804-287-7066",
"fax_number": "804-673-9531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 BREMO RD",
"address_2": "ST MARY'S HOSPITAL",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261907",
"telephone_number": "804-287-7066",
"fax_number": "804-673-9531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZIE",
"first_name": "WILLIAM",
"middle_name": "NDEKOUM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101234970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010018358",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.