Active NPI
Aziz John Yazdi, MD
- Pediatric Gastroenterology Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- DR.0035668
- Practice address
- 4125 Briargate Pkwy
Colorado Springs, CO 80920-7804 - Phone
- (719) 590-1005
- NPI assigned
- Oct 4, 2006
- Last updated
- Dec 16, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | DR.0035668 | CO | Primary |
Addresses
Primary practice location
4125 Briargate Pkwy
Colorado Springs, CO 80920-7804
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
2925 Professional Pl Ste 103
Colorado Springs, CO 80904-8125
Phone (719) 590-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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 |
|---|---|---|---|
| DR.0035668 | CO | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Colorado | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients | |
| University Physicians Incorporated | Current | Accepting new patients | |
| Pediatric Gastroenterology of Colorado Springs | Past | Accepting new patients |
Locations
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
4090 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 305-1234
4125 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 305-8000
Dept 1061
Denver, CO 80256
Interoperability endpoints
- jyazdi48927@direct.childrenscolorado.org
Organizations & group practices 5
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 CU Medicine
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- NPI 1174282776
-
dba CU Sports Medicine Colorado Center
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- NPI 1275045049
-
dba CU School of Dental Medicine
- Oral & Maxillofacial Surgery (D.M.D.)
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- NPI 1467801738
-
- Specialist
- Colorado Springs, CO
- NPI 1558579789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1275629990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4125 BRIARGATE PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207804",
"telephone_number": "719-590-1005"
}
],
"practiceLocations": [
{
"address_1": "2925 Professional Pl Ste 103",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809048125",
"country_code": "US",
"telephone_number": "719-590-1000",
"fax_number": "719-590-1005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAZDI",
"first_name": "AZIZ",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "CO",
"license": "DR.0035668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.