Active NPI
Tammam Abdul-Aziz, MD
- Anesthesiology Physician
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35082201
- Practice address
- 1447 N Harrison St
Saginaw, MI 48602-4727 - Phone
- (989) 583-7000
- Fax
- (419) 697-7726
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301082970 | MI | |
| Anesthesiology Physician | 207L00000X | 35082201 | OH | Primary |
Addresses
Primary practice location
1447 N Harrison St
Saginaw, MI 48602-4727
Mailing address
14629 Prairie Lake Dr
Perrysburg, OH 43551
Phone (419) 690-8698
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5182120 | Medicaid | MI | |
| P00389819 | Other | OH | RRMC |
| 341881145-002 | Other | OH | MMO |
| 000000300038 | Other | OH | ANTHEM |
| 04097 | Other | OH | PARAMOUNT |
| 00000049260 | Other | OH | ANTHEM |
| 2659341 | Medicaid | OH | |
| 7531873 | Other | OH | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 771-4000
5959 Monclova Rd
Maumee, OH 43537-1888
Phone (419) 893-5911
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301082970 | MI | MD | Anesthesiology Physician |
| 35082201 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saginaw Anesthesia Services, PLLC | Anesthesiology | Current | Accepting new patients |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| A4 of Ohio, LLC | Anesthesiology | Current | Accepting new patients |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Anesthesiology | Current | Accepting new patients |
| West Chester Surgical Suites, LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
5959 Monclova Rd
Maumee, OH 43537
Phone (419) 251-3740
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
3330 Meijer Dr
#1
Toledo, OH 43617
Phone (419) 578-5020
4235 Secor Rd
Bldg 2
Toledo, OH 43623
Phone (419) 473-3561
4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214
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.
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1205083615
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1255996567
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
-
dba Somc Radiology Associates
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1366686230
-
dba SOMC Anesthesia Associates
- Anesthesiology Physician
- Portsmouth, OH
- NPI 1629247010
-
- Ambulatory Surgical Clinic/Center
- West Chester, OH
- NPI 1295344026
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Covenant Healthcare
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616803200000",
"number": "1457343816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14629 PRAIRIE LAKE DR",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "43551",
"telephone_number": "419-690-8698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1447 N HARRISON ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486024727",
"telephone_number": "989-583-7000",
"fax_number": "419-697-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDUL-AZIZ",
"first_name": "TAMMAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2021-03-27",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301082970",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35082201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5182120",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00389819",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMO",
"identifier": "341881145-002",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000300038",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "04097",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "00000049260",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2659341",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7531873",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.