William Ndekoum Azie, MD
Individual provider Active NPI Emergency Medicine Physician · Richmond, VA
NPI 1114985371 · NPPES record last updated Oct 12, 2007
Key facts
- NPI
- 1114985371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 0101234970 (VA)
- 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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20040129001226 | VA | Practitioner - Emergency Medicine | 6305749029 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
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 |
| Doctors for Emergency Service | Emergency Medicine | Past | Accepting new patients |
| Virginia Emergency Associates Inc | Emergency Medicine | Past | Accepting new patients |
| Commonwealth Emergency Physicians PC | Emergency Medicine | Past | Accepting new patients |
| St Francis Emergency Associates Inc | Emergency Medicine | Past | Accepting new patients |
| Commonwealth Emergency Physicians PC | 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) 851-7423
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101234970 | VA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010018358 | Medicaid | VA |
Other providers in Richmond, VA
- Martha Ebaide Premoboere Ayewah
- Arden Aylesworth Jr.
- Azarel Community Support, LLC
- Ahad Azeem
- Mahnoor Azhar
- Muriel Azria-Evans
- Ashley Azubuike
- Dara Azuma
- Ezoza Azzam
- Yahya Azzam
All providers in Richmond, VA · Emergency Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2007. 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.