Individual provider Active NPI

Siamak Mohammad Zaki Yazdi, MD

  • Neonatal-Perinatal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1245680065
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD.40433 Issued in AL
Practice address
1700 6TH Ave S # Wic9380
Birmingham, AL 35233-1802
Phone
(205) 934-4680
NPI assigned
Jun 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.40433 AL
Neonatal-Perinatal Medicine Physician 2080N0001X MD.40433 AL Primary

Addresses

Primary practice location

1700 6TH Ave S # Wic9380
Birmingham, AL 35233-1802

Mailing address

1700 6TH Ave S # 9380
Birmingham, AL 35233-1802
Phone (205) 934-4680

Other names 1

  • Siamak Mohammad Zaki Rismanchi Yazdi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20190724002415 SC Practitioner - Pediatric Medicine 8224316237 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39769SCMDRegistered Nurse
MD.40433ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol CurrentSince Jun 13, 2019 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jun 13, 2019 Accepting new patients
Affinity Hospital LLC Past Accepting new patients
The Children'S Hospital of Alabama Past Accepting new patients
Cullman Regional Medical Center, Inc Past Accepting new patients
Medical West Hospital Authority, an Affiliate of Uab Health System Past Accepting new patients
St. Vincent'S Birmingham Past Accepting new patients

Locations

169 Ashley Ave
Rm 202
Charleston, SC 29425
Phone (843) 792-0192

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

Interoperability endpoints

  • Direct secure messaging: syazdi@direct.uabmedicine.org
  • Direct secure messaging: syazdi47501@childrensofalabama.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1245680065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 6TH AVE S # 9380",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331802",
            "telephone_number": "205-934-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 6TH AVE S # WIC9380",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331802",
            "telephone_number": "205-934-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDI",
        "first_name": "SIAMAK",
        "middle_name": "MOHAMMAD ZAKI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.40433",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "AL",
            "license": "MD.40433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIAMAK MOHAMMAD",
            "last_name": "YAZDI",
            "middle_name": "ZAKI RISMANCHI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.