Azeza Uddin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R9304 Issued in TX

Practice address

1500 S Main St
Fort Worth, TX 76104-4917

Phone

(817) 702-3636

Fax

(817) 927-8769

NPI assigned

Jan 7, 2008

Last updated

Dec 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, TX2 enrollments

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 2

Specialty

Psychiatry

Education

Meharry Medical College School of Medicine, 2005

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

North Central Iowa Mental Health Center, IncGroup PAC ID 1153210232, 16 clinicians

Arshan Consulting LLCGroup PAC ID 5597183368, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: auddin199950@direct.unitypoint.org
• Direct secure messaging: azeza.uddin.2@24262.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

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.

• Arshan Consulting, LLC

  dba A&B Neurology

  • Neurology Physician
  • Colleyville, TX
  • NPI 1770197477
  Medicare reassignment Care Compare group NPD
• North Central Iowa Mental Health Center Inc

  dba UnityPoint Health-Berryhill Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Dodge, IA
  • NPI 1922188606

  TX

  Medicare reassignment Care Compare group
• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment NPD
• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • Emergency Medicine Physician
  • Waterloo, IA
  • NPI 1346292521

  TX

  Medicare reassignment NPD
• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • Women's Health Nurse Practitioner
  • Waterloo, IA
  • NPI 1891772927

  Psychiatry

  Medicare reassignment NPD
• Mercy Specialty Clinic

  dba MercyOne Specialty Care

  • Multi-Specialty Clinic/Center
  • Clinton, IA
  • NPI 1386832764
  Medicare reassignment NPD
• Northwest Iowa Hospital Corporation

  dba St. Luke's Regional Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sioux City, IA
  • NPI 1215962550

  TX

  Medicare reassignment NPD
• The Finley Hospital

  dba UnityPoint Health - Provider Services

  • Emergency Medicine Physician
  • Dubuque, IA
  • NPI 1134176308

  TX

  Medicare reassignment NPD
• Medical Associates of Clinton, Iowa P.L.C.

  • Family Medicine Physician
  • Clinton, IA
  • NPI 1841244431
  NPD
• Mercy Specialty Clinic

  dba MercyOne Clinton North Health Plaza

  • Family Medicine Physician
  • Clinton, IA
  • NPI 1275197998
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Castle Health Care Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
  • NPI 1437474343
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trinity Regional Medical Center

  dba UnityPoint Health Trinity Regional Medical Center

  • General Acute Care Hospital
  • Fort Dodge, IA
  • NPI 1487759858
  Care Compare affiliation

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1255516522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732973",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753732973",
            "telephone_number": "817-702-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-3636",
            "fax_number": "817-927-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "AZEZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A99607",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R9304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey D'Nae Tzobanakis, OTR, CHT
• U S Anesthesia Partners of Texas
• U S Anesthesia Partners of Texas, PA
• U S Anesthesia Partners of Texas, PA
• U.S. Pharmacy, Inc. Store#2
• Fatema S Uddin, MD
• Mohd Rakib Uddin, MD
• Tochukwu Toby Udegbune, AGPCNP-BC, PMHNP-BC
• Kosisochi William Udozorh, LMFT-ASSOCIATE
• John Kenneth Uffman, MD, MPH

• Psychiatry Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.
• 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.

Verify at the official NPI Registry.