Individual provider Active NPI

Osama Aziz, M.D.

  • Internal Medicine Physician
  • Presque Isle, ME
National Provider Identifier
1285826792
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
018017 Issued in ME
Practice address
146 Academy St, Suite 1B
The Aroostook Medical Center
Presque Isle, ME 04769
Phone
(207) 764-2623
Fax
(207) 764-6993
NPI assigned
Aug 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 018017 ME
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 41297 KY
Pulmonary Disease Physician 207RP1001X TP501 KY
Pulmonary Disease Physician 207RP1001X 018017 ME
Internal Medicine Physician 207R00000X 018017 ME Primary

Addresses

Primary practice location

146 Academy St, Suite 1B
The Aroostook Medical Center
Presque Isle, ME 04769

Mailing address

PO Box 151
146 Academy St, Suite 1B, the Aroostook Medical Center
Presque Isle, ME 04769
Phone (207) 764-2623

Other practice location 1

93 Campus Ave Ste G025
Lewiston, ME 04240-6030
Phone (207) 777-4320

Other identifiers 2

IdentifierTypeStateIssuer
41297OtherKYMEDICAL LICENSE
TP501OtherKYMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oaziz671431@direct-prd.goodhelpconnections.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, SD2 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

Enrollment IDStateProvider typePAC IDDetails
I20090106000807 ME Practitioner - Pulmonary Disease 2264525344 Reassigns benefits to 1 organization
I20220523000749 SD Practitioner - Pulmonary Disease 2264525344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

201 S Lloyd St
Suite 105
Aberdeen, SD 57401-4552
Phone (605) 622-2570

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100

8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242

Hospital & facility affiliations

  • Avera St Lukes Hospital, Aberdeen, SD, CCN 430014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018017MEMDInternal Medicine Physician
TP501KYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Lukes CurrentSince Mar 1, 2023 Accepting new patients
Avera St. Luke'S CurrentSince Mar 1, 2023 Accepting new patients
Avera St. Luke'S Internal Medicine Current Accepting new patients
Tri-State Pulmonary Assoc PSC Pulmonary Disease Past Accepting new patients

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1285826792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "address_2": "146 ACADEMY ST, SUITE 1B, THE AROOSTOOK MEDICAL CENTER",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "04769",
            "telephone_number": "207-764-2623",
            "fax_number": "207-764-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 ACADEMY ST, SUITE 1B",
            "address_2": "THE AROOSTOOK MEDICAL CENTER",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "04769",
            "telephone_number": "207-764-2623",
            "fax_number": "207-764-6993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Campus Ave Ste G025",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406030",
            "country_code": "US",
            "telephone_number": "207-777-4320",
            "fax_number": "207-777-4331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIZ",
        "first_name": "OSAMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "ME",
            "license": "018017",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "41297",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "TP501",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "ME",
            "license": "018017",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "018017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "41297",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "TP501",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oaziz671431@direct-prd.goodhelpconnections.org",
            "affiliation": "N",
            "address_1": "93 Campus Ave Ste G025",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042406030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.