Active NPI
Safir Azam, MD
- Psychiatry Physician
- Miami, FL
National Provider Identifier
1457503302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME102409
- Practice address
- 960 W. 41St Street
Suite 106
Miami, FL 33140-3346 - Phone
- (305) 434-2148
- Fax
- (786) 292-0091
- NPI assigned
- Oct 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME102409 | FL | Primary |
Addresses
Primary practice location
960 W. 41St Street
Suite 106
Miami, FL 33140-3346
Mailing address
960 W. 41St Street
Suite 106
Miami, FL 33140-3346
Phone (305) 434-2148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
960 W 41St St
Suite 106
Miami, FL 33140-3346
Phone (305) 434-2148
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Family Psychiatry Professional Association | Psychiatry | Current | Accepting new patients |
| Wellsource | Psychiatry | Past | Accepting new patients |
Locations
960 W 41st St
Ste 106
Miami Beach, FL 33140
Phone (305) 434-2148
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Miami, FL
- NPI 1851634901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1457503302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 W. 41ST STREET",
"address_2": "SUITE 106",
"city": "MIAMI",
"state": "FL",
"postal_code": "331403346",
"telephone_number": "305-434-2148",
"fax_number": "786-292-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 W. 41ST STREET",
"address_2": "SUITE 106",
"city": "MIAMI",
"state": "FL",
"postal_code": "331403346",
"telephone_number": "305-434-2148",
"fax_number": "786-292-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZAM",
"first_name": "SAFIR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-22",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME102409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.