NPIMap

Individual provider Active NPI

Juliet Chikaodili Azie, M.D.

  • Internal Medicine Physician
  • Glen Burnie, MD
National Provider Identifier
1144576893
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0074358 Issued in MD
Practice address
301 Hospital Drive: Inpatient Team
Baltimore Washington Medical Center
Glen Burnie, MD 21061
Phone
(410) 787-4000
NPI assigned
Jul 31, 2012
Last updated
Jul 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0074358 MD Primary

Addresses

Primary practice location

301 Hospital Drive: Inpatient Team
Baltimore Washington Medical Center
Glen Burnie, MD 21061

Mailing address

PO Box 512650
Philadelphia, PA 19175-2650

Other identifiers 1

IdentifierTypeStateIssuer
KS04OtherMDMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121003000326 MD Practitioner - Internal Medicine 9931358108 Reassigns benefits to 2 organizations
I20190731001330 DC Practitioner - Internal Medicine 9931358108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

9649 Belair Rd
FL 2
Baltimore, MD 21236-1100
Phone (410) 256-9340

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0074358MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Washington Medical Center Inc. Current Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Jun 21, 2021 Accepting new patients
Baltimore Washington Medical Center Inc. Current Accepting new patients
Baltimore Washington Medical Center Inc. Internal Medicine CurrentSince Sep 10, 2012 Accepting new patients
Lifebridge Community Physicians, Inc CurrentSince Jun 21, 2021 Accepting new patients
Baltimore Washington Medical Center Inc. CurrentSince Sep 10, 2012 Accepting new patients
Arundel Physicians Associates, LLC Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

300 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4940

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

9649 Belair Rd
Fl Second
Nottingham, MD 21236
Phone (410) 248-2650

9649 Belair Rd
Ste 200
Nottingham, MD 21236
Phone (410) 638-9950

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Organizations & group practices 10

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 2

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1144576893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512650",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191752650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DRIVE: INPATIENT TEAM",
            "address_2": "BALTIMORE WASHINGTON MEDICAL CENTER",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-787-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIE",
        "first_name": "JULIET",
        "middle_name": "CHIKAODILI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0074358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "KS04",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.