Active NPI
Sebah Abdulaziz
- Anesthesiologist Assistant
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 75000034A
- Practice address
- 11141 Parkview Plaza Dr Ste 200
Fort Wayne, IN 46845-1714 - Phone
- (260) 425-6030
- Fax
- (260) 425-6028
- NPI assigned
- Jul 9, 2018
- Last updated
- Oct 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 75000034A | IN | Primary |
Addresses
Primary practice location
11141 Parkview Plaza Dr Ste 200
Fort Wayne, IN 46845-1714
Mailing address
3702 New Vision Dr BLDG B
Fort Wayne, IN 46845-1703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Nova Southeastern College of Osteo Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- Quality
- 87.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10045 | GA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Mak Anesthesia Georgia, LLC | Current | Accepting new patients | |
| Mak Anesthesia Holdings LLC | Current | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
895 Canton Rd NE
Bldg 200
Marietta, GA 30060
Phone (678) 784-0203
4441 Atlanta Rd SE
Smyrna, GA 30080
Phone 7707021806 ext. 210
2131 Fountain Dr
Snellville, GA 30078
Phone (770) 979-8200
Organizations & group practices 6
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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
dba Grady Health System
- Family Medicine Physician
- Atlanta, GA
- NPI 1114243813
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1609390103
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1912452939
-
dba Grady Inpatient Rehabilitation Unit
- Rehabilitation Hospital
- Atlanta, GA
- NPI 1336961119
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1245726645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 NEW VISION DR BLDG B",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11141 PARKVIEW PLAZA DR STE 200",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451714",
"telephone_number": "260-425-6030",
"fax_number": "260-425-6028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULAZIZ",
"first_name": "SEBAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "IN",
"license": "75000034A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.