Individual provider Active NPI

Sana Faquihul Azam, MD

  • Family Medicine Physician
  • San Marcos, TX
National Provider Identifier
1396314225
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V1736 Issued in TX
Practice address
2108 Hunter Rd Ste 116
San Marcos, TX 78666-5156
Phone
(737) 213-1590
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X V1736 TX Primary

Addresses

Primary practice location

2108 Hunter Rd Ste 116
San Marcos, TX 78666-5156

Mailing address

2108 Hunter Rd Ste 116
San Marcos, TX 78666-5156
Phone (737) 213-1590

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203002055 TX Practitioner - Family Practice 3577964279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Florida State University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

2108 Hunter Rd
Suite 116
San Marcos, TX 78666-5156
Phone (737) 213-1590

4301 W William Cannon Dr BLDG E
Ascension Medical Group Seton Expre
Austin, TX 78749-1474
Phone (512) 324-8980

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V1736TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Family Medicine CurrentSince Aug 10, 2024 Accepting new patients
Seton Family of Doctors Family Medicine Current Accepting new patients
Seton Family of Doctors CurrentSince Aug 10, 2024 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

2108 Hunter Rd
Ste 116
San Marcos, TX 78666
Phone (512) 754-7700

Interoperability endpoints

  • Direct secure messaging: sana.azam.1@8967.direct.athenahealth.com
  • Direct secure messaging: sana.azam.1@8363.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1396314225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 HUNTER RD STE 116",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665156",
            "telephone_number": "737-213-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 HUNTER RD STE 116",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665156",
            "telephone_number": "737-213-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAM",
        "first_name": "SANA",
        "middle_name": "FAQUIHUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V1736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.