Individual provider Active NPI

Keri L Azuar, MD

  • Diagnostic Radiology Physician
  • St. Paul, MN
National Provider Identifier
1427060334
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
65451 Issued in MN
Practice address
250 Thompson St.
St. Paul, MN 55102
Phone
(651) 292-2000
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 45449 CO
Diagnostic Radiology Physician 2085R0202X 65451 MN Primary

Addresses

Primary practice location

250 Thompson St.
St. Paul, MN 55102

Mailing address

166 4TH St. E.
Ste. 100
St. Paul, MN 55101-1474
Phone (651) 292-2000

Other identifiers 2

IdentifierTypeStateIssuer
021768OtherCOKAISER COMMERCIAL NUMBER
54756219MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WI, VA, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180914000406 TN Practitioner - Diagnostic Radiology 5092807222 Reassigns benefits to 3 organizations
I20190705000416 WI Practitioner - Diagnostic Radiology 5092807222 Reassigns benefits to 1 organization
I20240417002446 VA Practitioner - Diagnostic Radiology 5092807222 Reassigns benefits to 1 organization
I20260421000174 OH Practitioner - Diagnostic Radiology 5092807222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nevada School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Kettering Network Radiologists IncGroup PAC ID 7618960303, 74 clinicians

Practice addresses (Care Compare)

140 Triplett LN
Knoxville, TN 37922-3415
Phone (216) 844-1700

1435 Enclave Way
Knoxville, TN 37919-9040
Phone (937) 395-8627

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45449COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Radiology, P.C. Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Kettering Network Radiologists Inc Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Allina Health System CurrentSince Jul 1, 2019 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Flatirons Radiology, LLC Diagnostic Radiology Past Accepting new patients
Radiological Associates of Sacramento Medical Group Diagnostic Radiology Past Accepting new patients
Radiological Associates of Sacramento Medical Group Inc Diagnostic Radiology Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Feb 1, 2020 Accepting new patients
Insight Health Corp Past Accepting new patients
Kettering Medical Center Past Accepting new patients

Locations (25 of 67)

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

166 4th St E
Saint Paul, MN 55101
Phone (651) 292-2009

166 4th St E
Ste 100
Saint Paul, MN 55101

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

3371 Kemp Rd
Beavercreek, OH 45431
Phone (937) 320-3600

2510 Commons Blvd
Beavercreek, OH 45431
Phone (937) 223-2911

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

1023 S Main St
Centerville, OH 45458
Phone (937) 435-1982

L3402
Columbus, OH 43260
Phone (814) 444-1919

3095 Dayton Xenia Rd
Ste 100
Dayton, OH 45434
Phone (937) 531-7902

101 E Alex Bell Rd
Ste 190
Dayton, OH 45459
Phone (937) 425-4020

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

6438 Wilmington Pike
Dayton, OH 45459
Phone (937) 395-8666

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600

1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500

6661 Clyo Rd
Dayton, OH 45459
Phone (937) 425-4000

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

7740 Washington Village Dr
Ste 140
Dayton, OH 45459
Phone (937) 439-7420

450F Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-8306

1250 W National Rd
Englewood, OH 45315
Phone (937) 558-3062

1840 Springfield Rd
Fairborn, OH 45324
Phone (937) 523-8780

Interoperability endpoints

  • Direct secure messaging: kazuar30283@ehrdirect.uhhospitals.org

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1427060334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 4TH ST. E.",
            "address_2": "STE. 100",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551011474",
            "telephone_number": "651-292-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 THOMPSON ST.",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-292-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZUAR",
        "first_name": "KERI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "45449",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "65451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "021768",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54756219",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Paul, MN

Sources for this page

Verify at the official NPI Registry.