Individual provider Active NPI

Ali Azzawi, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1467019455
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101276694 Issued in VA
Practice address
5645 Main St
Flushing, NY 11355-5045
Phone
(718) 670-1507
NPI assigned
May 24, 2019
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.146387 OH
Internal Medicine Physician 207R00000X 0101276694 VA Primary

Addresses

Primary practice location

5645 Main St
Flushing, NY 11355-5045

Mailing address

4540 Center Blvd Apt 1910
Long Island City, NY 11109-5808
Phone (718) 670-1507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA, NC, PA, NY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20221011002670 OH Practitioner - HospitalistPractitioner - Internal Medicine 1456727775 Reassigns benefits to 1 organization
I20221105000003 VA Practitioner - HospitalistPractitioner - Internal Medicine 1456727775 Reassigns benefits to 1 organization
I20240417002272 NC Practitioner - Internal Medicine 1456727775 Reassigns benefits to 1 organization
I20241121002303 PA Practitioner - Internal Medicine 1456727775 Reassigns benefits to 1 organization
I20251113001828 NY Practitioner - Internal Medicine 1456727775 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Suffolk Medical PCGroup PAC ID 0244396349, 204 clinicians
Apogee Medical Group Virginia PCGroup PAC ID 0345310256, 34 clinicians
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians
Ulster Physician Medicine Services PCGroup PAC ID 8527563931, 72 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

142 S Main St
Danville, VA 24541-2922
Phone (434) 799-2225

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

68 Harris Bushville Rd
Monticello, NY 12701-3027
Phone (845) 794-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.77 of 100Reported as group
Quality
83.66
Improvement activities
40
Cost
75.74

Merit-based Incentive Payment System (MIPS)

Final score
89.83 of 100Reported as group
Quality
78.11
Improvement activities
40
Cost
74.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
319017NYMDLicensed Practical Nurse
0101276694VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group North Carolina CurrentSince Apr 8, 2024 Accepting new patients
Ulster Physician Medicine Services PC Internal Medicine CurrentSince Oct 4, 2025 Accepting new patients
Apogee Medical Group Ohio Inc Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
East Post Road Medical Services PC CurrentSince Jan 1, 2026 Accepting new patients
Apogee Medical Group Virginia, PC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Port Emergency Medical Services, P.C. CurrentSince Feb 5, 2026 Accepting new patients
White Plains Hospital Medical Center Past Accepting new patients
Garnet Health Medical Center Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

68 Harris Bushville Rd
Monticello, NY 12701
Phone (845) 897-6053

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

Interoperability endpoints

  • Direct secure messaging: aali1078612@direct.osumc.edu

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1467019455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 CENTER BLVD APT 1910",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095808",
            "telephone_number": "718-670-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZAWI",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.146387",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101276694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.