Individual provider Active NPI

Azedine Medhkour, M.D.

  • Neurological Surgery Physician
  • Wheeling, WV
National Provider Identifier
1437154424
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
30095 Issued in WV
Practice address
40 Medical Park Ste 508
Wheeling, WV 26003-6392
Phone
(304) 243-8916
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036169702 IL
Neurological Surgery Physician 207T00000X 35077964 OH
Neurological Surgery Physician 207T00000X 30095 WV Primary

Addresses

Primary practice location

40 Medical Park Ste 508
Wheeling, WV 26003-6392

Mailing address

3355 Glendale Ave FL 3
Toledo, OH 43614-2426
Phone (419) 383-3759

Other practice location 1

5666 E State St
Rockford, IL 61108-2425
Phone (815) 227-2586

Other practice location 2

3000 Arlington Avenue
Toledo, OH 43614
Phone (419) 383-3759

Other identifiers 1

IdentifierTypeStateIssuer
2175042MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amedhkour164061@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20241030001220 TX Practitioner - Neurosurgery 8820058357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raul a. Marquez, MD PAGroup PAC ID 8123007887, 8 clinicians

Practice addresses (Care Compare)

2402 Cornerstone Blvd
Edinburg, TX 78539-8462
Phone (956) 668-0060

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion14
Laminectomy or laminotomy (partial removal of spine bones)14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077964OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raul a. Marquez, MD PA CurrentSince Oct 14, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Bellevue Professional Services, Inc. Past Accepting new patients
West Virginia University Medical Corporation Neurological Surgery PastSince Dec 13, 2020 Accepting new patients

Locations

2402 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 618-4444

Organizations & group practices 4

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 2

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1437154424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 GLENDALE AVE FL 3",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142426",
            "telephone_number": "419-383-3759",
            "fax_number": "419-383-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MEDICAL PARK STE 508",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036392",
            "telephone_number": "304-243-8916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5666 E State St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611082425",
            "country_code": "US",
            "telephone_number": "815-227-2586",
            "fax_number": "815-227-2579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Arlington Avenue",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "43614",
            "country_code": "US",
            "telephone_number": "419-383-3759",
            "fax_number": "419-383-2962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDHKOUR",
        "first_name": "AZEDINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036169702",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35077964",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WV",
            "license": "30095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2175042",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amedhkour164061@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40 Medical Park",
            "city": "Wheeling",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260036392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.