Abdi Vaezy, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

25857 Issued in KY

Practice address

14949 N US Highway 25 E
Suite 6
Corbin, KY 40701-6285

Phone

(606) 528-0009

Fax

(606) 528-0091

NPI assigned

Nov 10, 2005

Last updated

Feb 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Baptist Health Medical Group Inc

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1518360296
  Medicare reassignment NPD
• Abdi Vaezy MD PLLC

  • Pulmonary Disease Physician
  • Corbin, KY
  • NPI 1497943930
  NPD (past) Authorized official
• Baptist Health Medical Group Inc

  dba Dawson Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1124009659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1325",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407021325",
            "telephone_number": "606-526-8131",
            "fax_number": "606-528-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14949 N US HIGHWAY 25 E",
            "address_2": "SUITE 6",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016285",
            "telephone_number": "606-528-0009",
            "fax_number": "606-528-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAEZY",
        "first_name": "ABDI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "25857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64258577",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01427260",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Underwood, PA-C
• Derik Unthank, BSW
• Regina Upchurch, PHARMD
• Upperline Healthcare PC
• US 25W Pharmacy Inc
• Samantha Latasha Valentine, BA
• Anita Gail Vance
• Jack Bryan Vance Sr., BA
• Summer Lynn Vandy, LPCC, NCC
• Stefanie Ann Vanhoose

• Pulmonary Disease Physician in Corbin, KY
• Providers in Corbin, KY by specialty
• Pulmonary Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.