Serag Eddin Fathi Abdulaziz, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35.124221 Issued in OH

Practice address

5969 E Broad St Ste 403
Columbus, OH 43213-1540

Phone

(614) 234-7535

NPI assigned

Jun 24, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

HospitalistAlso: Internal Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Medicine Physicians of Ohio, Professional CorporationGroup PAC ID 3779749197, 165 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Hospitalist Medicine Physicians of Ohio, Professional Corporation

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1043572290
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Richland County, LTD

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1639119027
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mount Carmel Health System

  • General Acute Care Hospital
  • Grove City, OH
  • NPI 1710067376
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1982784534
  Care Compare affiliation

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164718409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5969 E BROAD ST STE 403",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131540",
            "telephone_number": "614-234-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 E BROAD ST STE 403",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131540",
            "telephone_number": "614-234-7535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2553 E 11th St",
            "address_2": "BSMT",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112355011",
            "country_code": "US",
            "telephone_number": "443-739-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDULAZIZ",
        "first_name": "SERAG EDDIN",
        "middle_name": "FATHI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.124221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mecca Abdul-Aziz
• Aniisa Abdul-Sharif, BS PSY
• Muhiyadin B Abdulahi
• Sagal Abdulahi
• Angel Marie Abdulazeez, IP/HOMEHEALTH/TRANSP
• Amina M. Abdule, APRN-CNP
• Mohamed Abdulkadir
• Jathiya Taslim Eid Abdullah-Simmons
• Abdulai Abdullah
• Renna Abdullah, LISW-S

• Internal Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.