NPIMap

Individual provider Active NPI

Azizul Rehman, M.D

  • Interventional Cardiology Physician
  • Dallas, TX
National Provider Identifier
1407275290
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
T3369 Issued in TX
Practice address
12720 Hillcrest Rd Ste 300
Dallas, TX 75230-2089
Phone
(214) 814-1550
Fax
(214) 814-1350
NPI assigned
Apr 9, 2014
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 305404-01 NY
Interventional Cardiology Physician 207RI0011X T3369 TX Primary

Addresses

Primary practice location

12720 Hillcrest Rd Ste 300
Dallas, TX 75230-2089

Mailing address

9330 LBJ Fwy Ste 800
Dallas, TX 75243-4310
Phone (972) 792-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230811000311 TX Practitioner - Interventional Cardiology 3173860020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connected Cardiovascular Care Associates, PLLCGroup PAC ID 4789910829, 6 clinicians

Practice addresses (Care Compare)

12720 Hillcrest Rd
Suite 300
Dallas, TX 75230-2089
Phone (214) 814-1550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.46 of 100Reported as group
Quality
73.99
Improvement activities
40
Cost
72.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305404-01NYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connected Cardiovascular Care Associates PLLC Interventional Cardiology CurrentSince Aug 1, 2023 Accepting new patients
Cardiac Cath Lab of Dallas, LP CurrentSince Sep 23, 2023 Accepting new patients
Thhbp Management Company LLC PastSince Nov 1, 2024 Accepting new patients

Locations

11970 N Central Expy
Ste 610
Dallas, TX 75243
Phone (469) 232-9393

12720 Hillcrest Rd
Ste 300
Dallas, TX 75230
Phone (214) 814-1500

12740 Hillcrest Rd
Ste 265
Dallas, TX 75230
Phone (972) 513-1410

8200 Walnut Hill Ln
#C3
Dallas, TX 75231

6785 Horizon Rd
Ste 110
Heath, TX 75032

4716 Alliance Blvd
Ste 350
Plano, TX 75093
Phone (469) 814-3480

1005 W Ralph Hall Pkwy
Ste 225
Rockwall, TX 75032

Interoperability endpoints

  • Direct secure messaging: azizul.rehman@texasc3.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FJFHBD

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baylor Scott & White the Heart Hospital - PlanoPlano, TX, CCN 670025 Hospital General Partnership Interest Jan 3, 2024
Baylor Scott & White the Heart Hospital - DentonDenton, TX, CCN 450893 Hospital General Partnership Interest Jan 3, 2024
Baylor Scott & White the Heart Hospital RehabilitationDenton, TX, CCN 67T347 Hospital General Partnership Interest Nov 1, 2024
Baylor Scott & White the Heart Hospital - CorinthDenton, TX, CCN 670347 Hospital General Partnership Interest Nov 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 12

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1407275290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 LBJ FWY STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434310",
            "telephone_number": "972-792-9700",
            "fax_number": "214-506-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 HILLCREST RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302089",
            "telephone_number": "214-814-1550",
            "fax_number": "214-814-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "AZIZUL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2023-10-27",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "305404-01",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "T3369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.