NPIMap

Individual provider Active NPI

Azzam Almounajjed, M.D.

  • Internal Medicine Physician
  • Muskogee, OK
National Provider Identifier
1508876590
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26649 Issued in OK
Practice address
3900 W Broadway
Muskogee, OK 74401
Phone
(918) 682-8612
NPI assigned
Aug 9, 2006
Last updated
May 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26649 OK Primary

Addresses

Primary practice location

3900 W Broadway
Muskogee, OK 74401

Mailing address

4429 W Kent Cir
Broken Arrow, OK 74012-9426
Phone (917) 400-0938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090310000595 OK Practitioner - Internal Medicine 2769477710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision Internal Medicine Care PCGroup PAC ID 2860718905, 2 clinicians

Practice addresses (Care Compare)

3900 W Broadway
Muskogee, OK 74401-2145
Phone (918) 682-8612

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as individual
Quality
86.12
Improvement activities
40
Cost
50.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions13
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26649OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Internal Medicine Care PC Internal Medicine CurrentSince Nov 30, 2014 Accepting new patients
Saint Francis Hospital Muskogee Inc Past Accepting new patients
Solara Hospital Muskogee,LLC Past Accepting new patients
Green Country Infectious Disease PC Past Accepting new patients

Locations

3900 W Broadway St
Muskogee, OK 74401
Phone (918) 682-8612

Organizations & group practices 5

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1508876590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 W KENT CIR",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129426",
            "telephone_number": "917-400-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W BROADWAY",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "74401",
            "telephone_number": "918-682-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMOUNAJJED",
        "first_name": "AZZAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "26649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.