Active NPI
Lynn Azuma, M.D.
- Pediatrics Physician
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M6508
- Practice address
- 425 University Blvd
Suite 130
Round Rock, TX 78665-1053 - Phone
- (512) 509-0200
- Fax
- (512) 509-3514
- NPI assigned
- May 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 233324 | NY | |
| Pediatrics Physician | 208000000X | M6508 | TX | Primary |
Addresses
Primary practice location
425 University Blvd
Suite 130
Round Rock, TX 78665-1053
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02633585 | Medicaid | NY | |
| 190139901 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lazuma10938@direct.sw.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|
| 233324 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott and White Clinic | Pediatrics | Current | Accepting new patients |
| Scott & White Clinic | Pediatrics | Current | Accepting new patients |
| Scott & White Clinic | Pediatrics | Current | Accepting new patients |
Locations
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000
425 University Blvd
Ste 130
Round Rock, TX 78665
Phone (512) 509-5437
425 University Blvd
Round Rock, TX 78665
Phone (512) 509-0100
Interoperability endpoints
- lazuma10938@direct.sw.org
Organizations & group practices 3
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 Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1295782043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 UNIVERSITY BLVD",
"address_2": "SUITE 130",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651053",
"telephone_number": "512-509-0200",
"fax_number": "512-509-3514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZUMA",
"first_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "233324",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M6508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02633585",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190139901",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lazuma10938@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "425 University Blvd",
"address_2": "Suite 130",
"city": "Round Rock",
"state": "TX",
"country_code": "US",
"postal_code": "786651053",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.