Mohammed R Azaz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

220310 Issued in NY

Practice address

6277 Jericho Tpke
Commack, NY 11725-2837

Phone

(631) 462-6644

Fax

(631) 462-9890

NPI assigned

Oct 26, 2005

Last updated

Feb 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mid-Suffolk Medical Care PCGroup PAC ID 9133209778, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BEDIBA

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.

• Mid-Suffolk Medical Care PC

  dba Island Medical Care

  • Legal Medicine
  • Commack, NY
  • NPI 1811186083
  Medicare reassignment Care Compare group NPD Authorized official
• Ams Primary Medical Care House Calls,PC

  dba New York Express Medical Care PC

  • Urgent Care Clinic/Center
  • Commack, NY
  • NPI 1235684432
  Authorized official Same address or phone

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

• Nursing Sisters Home Care, Inc.

  dba Catholic Health Home Care

  • Home Health Agency
  • Farmingdale, NY
  • NPI 1780670711
  Care Compare affiliation

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1356331763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6277 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252837",
            "telephone_number": "631-462-6644",
            "fax_number": "631-462-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6277 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252837",
            "telephone_number": "631-462-6644",
            "fax_number": "631-462-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAZ",
        "first_name": "MOHAMMED",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02131226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avery Biomedical Devices, Inc.
• Axis DME Solutions Inc
• Axis DME Solutions Inc
• Monalisa Aydin, LPN
• Kathy Ayers-Lanzalotta, CASAC
• Kaitlin Azzato, M.A. SPECIAL ED
• B.T.P. Vision Inc. (Commack Vision Center)
• Abdul Baalbakii, OTR/L
• Bab Nuclear Radiology, PC (BAB Radiology Commack)
• Babbling Brook Speech and Language Therapy, PLLC

• Internal Medicine Physician in Commack, NY
• Providers in Commack, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.