Individual provider Active NPI

William Marshall Azkoul II, M.D.

  • Otolaryngology Physician
  • Jupiter, FL
National Provider Identifier
1609372853
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME170971 Issued in FL
Practice address
210 Jupiter Lakes Blvd
Building 5000, Suite 105
Jupiter, FL 33458
Phone
(561) 748-4444
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301509228 MI
Otolaryngology Physician 207Y00000X 78120 MN
Otolaryngology Physician 207Y00000X ME170971 FL Primary

Addresses

Primary practice location

210 Jupiter Lakes Blvd
Building 5000, Suite 105
Jupiter, FL 33458

Mailing address

210 Jupiter Lakes Blvd
BLDG 5000, Suite 105
Jupiter, FL 33458
Phone (561) 748-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MN, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230801001045 MI Practitioner - Otolaryngology 8729449244 Reassigns benefits to 1 organization
I20241002001549 MN Practitioner - Otolaryngology 8729449244 Reassigns benefits to 1 organization
I20250203002255 FL Practitioner - Otolaryngology 8729449244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Oakland Univ, William Beaumont School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 105
Boca Raton, FL 33487-5712
Phone (561) 391-3333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as apm
Quality
84.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olmsted Medical Center CurrentSince Sep 28, 2024 Accepting new patients
ENT and Allergy Associates of Florida, LLC Otolaryngology CurrentSince Mar 1, 2025 Accepting new patients

Locations

6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267

1601 Clint Moore Rd
Ste 105
Boca Raton, FL 33487
Phone (561) 391-3333

900 NW 13th St
Ste 206
Boca Raton, FL 33486
Phone (561) 338-3267

210 Jupiter Lakes Blvd
Ste 105
Jupiter, FL 33458
Phone (561) 575-7875

210 Jupiter Lakes Blvd
Bldg 5000
Jupiter, FL 33458
Phone (561) 748-1242

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

210 9th St SE
Ste 1
Rochester, MN 55904
Phone (507) 292-7144

Interoperability endpoints

  • Direct secure messaging: wazkoul2811270@direct.trinity-health.org
  • Direct secure messaging: william.azkoul.1@19711.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1609372853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "BLDG 5000, SUITE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-748-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "BUILDING 5000, SUITE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-748-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZKOUL",
        "first_name": "WILLIAM",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301509228",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "78120",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME170971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.