Individual provider Active NPI

Azam Chizari, ANP

  • Adult Health Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1316906803
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2001000435 Issued in MO
Practice address
1610 Washington Blvd
Kansas City, KS 66102-2842
Phone
(913) 281-2605
Fax
(913) 281-0087
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2001000435 MO Primary

Addresses

Primary practice location

1610 Washington Blvd
Kansas City, KS 66102-2842

Mailing address

PO Box 879985
Kansas City, MO 64187-0001
Phone (913) 248-9693

Other practice location 1

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-5345

Other practice location 2

2101 Charlotte St
Kansas City, MO 64108-2727
Phone (816) 404-7800

Other identifiers 1

IdentifierTypeStateIssuer
427626007MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2001000435MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Physicians Past Accepting new patients
Anil V Gosalia, MD, PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1316906803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879985",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641870001",
            "telephone_number": "913-248-9693",
            "fax_number": "913-248-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 WASHINGTON BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661022842",
            "telephone_number": "913-281-2605",
            "fax_number": "913-281-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082640",
            "country_code": "US",
            "telephone_number": "816-404-5345",
            "fax_number": "816-404-5381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Charlotte St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082727",
            "country_code": "US",
            "telephone_number": "816-404-7800",
            "fax_number": "816-707-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIZARI",
        "first_name": "AZAM",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2001000435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427626007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.