Individual provider Active NPI

Mohammad Azam, MD

  • Pulmonary Disease Physician
  • Tuscaloosa, AL
National Provider Identifier
1184688541
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
24144 Issued in AL
Practice address
701 University Blvd E
Suite 711
Tuscaloosa, AL 35401-2086
Phone
(205) 345-2255
Fax
(205) 345-0813
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 24144 AL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 24144 AL

Addresses

Primary practice location

701 University Blvd E
Suite 711
Tuscaloosa, AL 35401-2086

Mailing address

701 University Blvd E
Suite 711
Tuscaloosa, AL 35401-2086
Phone (205) 345-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20031229000009 AL Practitioner - Pulmonary Disease 0749188803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuscaloosa Lung and Sleep Consultants, PCGroup PAC ID 9133185846, 5 clinicians

Practice addresses (Care Compare)

701 University Blvd E
Suite 711
Tuscaloosa, AL 35401-7433
Phone (205) 345-2255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24144ALMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Alabama Palliative Care Service LLC Current Accepting new patients
Tuscaloosa Lung & Sleep Consultants, PC CurrentSince Jan 1, 2005 Accepting new patients
The DCH Health Care Authority CurrentSince Oct 1, 2002 Accepting new patients
The DCH Healthcare Authority CurrentSince Oct 1, 2002 Accepting new patients
DCH Healthcare Authority Current Accepting new patients

Locations

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

4401 Watermelon Rd
Northport, AL 35473
Phone (205) 343-2811

701 University Blvd E
Ste 711
Tuscaloosa, AL 35401
Phone (205) 345-2255

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

809 University Blvd E
Fl 4
Tuscaloosa, AL 35401
Phone (205) 759-7241

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400329

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1184688541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "address_2": "SUITE 711",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012086",
            "telephone_number": "205-345-2255",
            "fax_number": "205-345-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "address_2": "SUITE 711",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012086",
            "telephone_number": "205-345-2255",
            "fax_number": "205-345-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAM",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "24144",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AL",
            "license": "24144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.