Active NPI
Siamak Mohammad Zaki Yazdi, MD
- Neonatal-Perinatal Medicine Physician
- Birmingham, AL
National Provider Identifier
1245680065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD.40433
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39769 | SC | MD | Registered Nurse |
| MD.40433 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | 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
- syazdi@direct.uabmedicine.org
- 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.
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1023061405
-
- General Acute Care Hospital
- Cullman, AL
- NPI 1114919339
-
- General Acute Care Hospital
- Bessemer, AL
- NPI 1790896710
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1841298999
-
- Children's Hospital
- Birmingham, AL
- NPI 1205935012
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.