Individual provider Active NPI

Azhar A Kazi, M.D.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1538357348
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N4512 Issued in TX
Practice address
3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone
(214) 947-7777
NPI assigned
Oct 5, 2007
Last updated
May 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 201705 LA
Family Medicine Physician 207Q00000X N4512 TX Primary

Addresses

Primary practice location

3500 W Wheatland Rd
Dallas, TX 75237-3460

Mailing address

7012 Emerald Coast Dr
Plano, TX 75074-2024

Other identifiers 1

IdentifierTypeStateIssuer
1071307MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111025000839 TX Practitioner - Family PracticePractitioner - Internal Medicine 0143318444 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201705LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA CurrentSince Jun 1, 2013 Accepting new patients
Hospital Medicine Associates of TX PA Family Medicine CurrentSince Jul 1, 2016 Accepting new patients

Locations

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

Interoperability endpoints

  • Direct secure messaging: azhar.kazi.1@20864.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1538357348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 EMERALD COAST DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750742024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373460",
            "telephone_number": "214-947-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZI",
        "first_name": "AZHAR",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "201705",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1071307",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.