Active NPI
Sapna Bazaz, M.B.B.S, MD
- Surgery Physician
- Charleston, SC
National Provider Identifier
1467537100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- LL25970
- Practice address
- 96 Jonathan Lucas St
Suite 418
Charleston, SC 29425-8900 - Phone
- (843) 792-3072
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LL25970 | SC | Primary |
Addresses
Primary practice location
96 Jonathan Lucas St
Suite 418
Charleston, SC 29425-8900
Mailing address
45 Sycamore Ave
Apt # 1423
Charleston, SC 29407-6710
Phone (843) 513-8674
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110808000301 | NY | Order and Referring Only - General Surgery | 0648449785 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL25970 | SC | MD | Surgery Physician |
Interoperability endpoints
- sapnabazaz@hiemail.healtheconnections.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467537100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SYCAMORE AVE",
"address_2": "APT # 1423",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294076710",
"telephone_number": "843-513-8674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 JONATHAN LUCAS ST",
"address_2": "SUITE 418",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258900",
"telephone_number": "843-792-3072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZAZ",
"first_name": "SAPNA",
"credential": "M.B.B.S, MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "LL25970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.