Active NPI
Soubhi Azar, M.D.
- Internal Medicine Physician
- Manlius, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 275660
- Practice address
- 4500 Pewter LN BLDG 1
Manlius, NY 13104-7704 - Phone
- (315) 682-6600
- Fax
- (315) 682-0570
- NPI assigned
- Jun 20, 2011
- Last updated
- Sep 2, 2025
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 275660 | NY | Primary |
Addresses
Primary practice location
4500 Pewter LN BLDG 1
Manlius, NY 13104-7704
Mailing address
1001 W Fayette St
Suite 400
Syracuse, NY 13204-2859
Phone (315) 472-1488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4500 Pewter LN
Suite 1
Manlius, NY 13104-7704
Phone (315) 682-6600
736 Irving Ave
Syracuse, NY 13210-1687
Phone (315) 470-7111
739 Irving Ave
Suite 200
Syracuse, NY 13210-1668
Phone (315) 479-5070
739 Irving Ave
Suite 500
Syracuse, NY 13210-1664
Phone (315) 470-7409
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crouse Medical Practice PLLC | Current | Accepting new patients | |
| Crouse Medical Practice, PLLC | Internal Medicine | Current | Accepting new patients |
| Crouse Medical Practice PLLC | Past | Accepting new patients |
Locations
4500 Pewter Ln
Bldg 1
Manlius, NY 13104
Phone (315) 470-7409
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
739 Irving Ave
Ste 200
Syracuse, NY 13210
Phone (315) 479-5070
Interoperability endpoints
- sazar@crousemed.medentdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1922321934
-
- Physician Assistant
- East Syracuse, NY
- NPI 1386990638
-
dba Internist Associates of Central New York Clinical Laboratories
- Clinical Medical Laboratory
- Syracuse, NY
- NPI 1548579212
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
dba Oneida Healthcare Center
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
dba Hospice of Central New York
- Community Based Hospice Care Agency
- Liverpool, NY
- NPI 1912098666
-
- Home Health Agency
- Syracuse, NY
- NPI 1265437982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1457646341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST",
"address_2": "SUITE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042859",
"telephone_number": "315-472-1488",
"fax_number": "315-472-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 PEWTER LN BLDG 1",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131047704",
"telephone_number": "315-682-6600",
"fax_number": "315-682-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZAR",
"first_name": "SOUBHI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-20",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "275660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manlius, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.