Individual provider Active NPI

Ricardo Azziz, MD

  • Reproductive Endocrinology Physician
  • Augusta, GA
National Provider Identifier
1447237375
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
064801 Issued in GA
Practice address
1120 15TH Street
Augusta, GA 30912-0004
Phone
(706) 722-4434
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 064801 GA Primary

Addresses

Primary practice location

1120 15TH Street
Augusta, GA 30912-0004

Mailing address

1499 Walton Way
Suite 1400
Augusta, GA 30901-2603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY, AL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20101011000154 GA Practitioner - Obstetrics/Gynecology 5193864833 Reassigns benefits to 1 organization
I20170726001721 NY Practitioner - Obstetrics/Gynecology 5193864833 Reassigns benefits to 1 organization
I20191230001837 AL Practitioner - Obstetrics/Gynecology 5193864833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
064801GAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Jun 5, 2017 Accepting new patients
Albany Medical College Current Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 1, 2019 Accepting new patients
Albany Medical College CurrentSince Jun 1, 2019 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2010 Accepting new patients
Albany Medical College Reproductive Endocrinology CurrentSince Jun 5, 2017 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2010 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

16 New Scotland Ave
Albany, NY 12208
Phone (518) 262-4942

391 Myrtle Ave
Albany, NY 12208
Phone (518) 262-5588

391 Myrtle Ave
Ste 2
Albany, NY 12208
Phone (518) 262-4942

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01C0
  • bcbs alabama network 01A0
  • bcbs alabama network 01G0
  • bcbs alabama network 01B0

Interoperability endpoints

  • Direct secure messaging: razziz@direct.uabmedicine.org

Organizations & group practices 7

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1447237375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 WALTON WAY",
            "address_2": "SUITE 1400",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH STREET",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-722-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZIZ",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "GA",
            "license": "064801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.