Individual provider Active NPI

Tammam Abdul-Aziz, MD

  • Anesthesiology Physician
  • Saginaw, MI
National Provider Identifier
1457343816
Registry record updated Mar 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35082201 Issued in OH
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

Updated by the provider on Mar 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5182120MedicaidMI
P00389819OtherOHRRMC
341881145-002OtherOHMMO
000000300038OtherOHANTHEM
04097OtherOHPARAMOUNT
00000049260OtherOHANTHEM
2659341MedicaidOH
7531873OtherOHAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060816000054 OH Practitioner - Anesthesiology 3173526001 Reassigns benefits to 2 organizations
I20180823002230 MI Practitioner - Anesthesiology 3173526001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Saginaw Anesthesia Services, PLLCGroup PAC ID 5890855019, 21 clinicians
A4 of Ohio LLCGroup PAC ID 3971837188, 33 clinicians

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

LicenseStateTypeSpecialty
4301082970MIMDAnesthesiology Physician
35082201OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Anesthesia Services, PLLC Anesthesiology CurrentSince Apr 22, 2019 Accepting new patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
A4 of Ohio, LLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince May 13, 2017 Accepting new patients
Somc Medical Care Foundation, Inc. Anesthesiology CurrentSince May 13, 2017 Accepting new patients
West Chester Surgical Suites, LLC CurrentSince Oct 1, 2021 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.