Active NPI
Bushra I Al-Azzawi, M.D.
- Internal Medicine Physician
- Baltimore, MD
National Provider Identifier
1568400299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0061485
- Practice address
- 6830 Hospital Dr
Suite 204
Baltimore, MD 21237-4373 - Phone
- (443) 559-5082
- Fax
- (443) 559-5078
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | D0061485 | MD | Primary |
Addresses
Primary practice location
6830 Hospital Dr
Suite 204
Baltimore, MD 21237-4373
Mailing address
6830 Hospital Dr
Suite 204
Baltimore, MD 21237-4373
Phone (443) 559-5082
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3676417 | Other | MD | AETNA HMO |
| 345BBU | Other | MD | CAREFIRST BCBS MD |
| 9858660 | Other | MD | CIGNA |
| K1510001 | Other | DC | CAREFIRST BCBS DC |
| 406046600 | Medicaid | MD | |
| 7676676 | Other | MD | AETNA PPO |
| 8133103 | Other | MD | MD-IPA/OCI/MAMSI/ALLIANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0061485 | MD | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1568400299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6830 HOSPITAL DR",
"address_2": "SUITE 204",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212374373",
"telephone_number": "443-559-5082",
"fax_number": "443-559-5078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6830 HOSPITAL DR",
"address_2": "SUITE 204",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212374373",
"telephone_number": "443-559-5082",
"fax_number": "443-559-5078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-AZZAWI",
"first_name": "BUSHRA",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0061485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3676417",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS MD",
"identifier": "345BBU",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9858660",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS DC",
"identifier": "K1510001",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "406046600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7676676",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD-IPA/OCI/MAMSI/ALLIANCE",
"identifier": "8133103",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.