NPIMap

Individual provider Active NPI

Ahmad Alazzeh, MD

  • Pulmonary Disease Physician
  • Riverside, CA
National Provider Identifier
1194037945
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
166481 Issued in CA
Practice address
4234 Riverwalk Pkwy Ste 230
Riverside, CA 92505-3312
Phone
(951) 781-3672
Fax
(951) 781-0365
NPI assigned
Jul 9, 2010
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 166481 CA
Pulmonary Disease Physician 207RP1001X 166481 CA Primary

Addresses

Primary practice location

4234 Riverwalk Pkwy Ste 230
Riverside, CA 92505-3312

Mailing address

4234 Riverwalk Pkwy Ste 230
Riverside, CA 92505-3312
Phone (951) 781-3672

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahmad.alazzeh.p1@direct.pacificpulm.nextgenshare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507002957 CA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 4183867591 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hasan and Alazzeh Medical PCGroup PAC ID 7719463983, 2 clinicians
Quantum Healthcare Medical Associates IncGroup PAC ID 5294647574, 109 clinicians
Clinic Services of California Medical Group IncGroup PAC ID 7810209715, 65 clinicians
El-Bershawi Medical CorpGroup PAC ID 9032298492, 44 clinicians

Practice addresses (Care Compare)

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (909) 883-8711

242 E Airport Dr
Suite 100
San Bernardino, CA 92408-3408
Phone (626) 628-5227

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000

4234 Riverwalk Pkwy
Suite 230
Riverside, CA 92505-3312
Phone (951) 781-3672

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.59 of 100Reported as group
Quality
52.13
Improvement activities
40
Cost
66.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
166481CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El-Bershawi Medical Corp Critical Care Medicine CurrentSince Jul 1, 2020 Accepting new patients
Hasan & Alazzeh Medical, P.C. Pulmonary Disease CurrentSince Oct 21, 2025 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Dec 24, 2023 Accepting new patients
Clinic Services of California Medical Group Inc Physician Assistant CurrentSince Dec 24, 2023 Accepting new patients
City of Hope Medical Foundation Pulmonary Disease CurrentSince Jun 14, 2023 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Pacific Professional Surgical Group Inc Past Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

1000 Fivepoint
Irvine, CA 92618
Phone (888) 333-4673

4 Hughes
Ste 100
Irvine, CA 92618
Phone (949) 679-6874

1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7600

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

4234 Riverwalk Pkwy
Ste 120
Riverside, CA 92505
Phone (909) 418-2700

4234 Riverwalk Pkwy
Ste 230
Riverside, CA 92505
Phone (951) 373-5819

242 E Airport Dr
Ste 100
San Bernardino, CA 92408
Phone (626) 628-5227

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Advantage Health SystemsRiverside, CA, CCN A01600 Hospice Contracted Managing Employee Jun 7, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Egb Holdings

    dba Advantage Health Systems

    • Community Based Hospice Care Agency
    • Riverside, CA
    • NPI 1801345731

    Contracted Managing Employee

    CMS ownership

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 5

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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1194037945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053312",
            "telephone_number": "951-781-3672",
            "fax_number": "951-781-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053312",
            "telephone_number": "951-781-3672",
            "fax_number": "951-781-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAZZEH",
        "first_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "166481",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "166481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahmad.alazzeh.p1@direct.pacificpulm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "4234 Riverwalk Pkwy Ste 230",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.