Individual provider Active NPI

Azhil Durairaj, MD

  • Interventional Cardiology Physician
  • Pasadena, CA
National Provider Identifier
1609826973
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A54721 Issued in CA
Practice address
625 S Fair Oaks Ave
Suite 215
Pasadena, CA 91105-2615
Phone
(626) 793-4139
Fax
(626) 793-4324
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A054721 CA
Interventional Cardiology Physician 207RI0011X A54721 CA Primary

Addresses

Primary practice location

625 S Fair Oaks Ave
Suite 215
Pasadena, CA 91105-2615

Mailing address

3452 E Foothill Blvd
Suite 130
Pasadena, CA 91107-3142
Phone (626) 793-2885

Other identifiers 2

IdentifierTypeStateIssuer
W2223OtherCAMEDICARE PTAN
00A547210MedicaidCA

Other names 1

  • Dr. Alex Durairaj Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041105000305 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7113980681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Southern California Keck School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foothill Cardiology Medical Group IncGroup PAC ID 8527049261, 36 clinicians

Practice addresses (Care Compare)

625 S Fair Oaks Ave
Suite 215
Pasadena, CA 91105-2613
Phone (626) 793-4139

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.66 of 100Reported as group
Quality
86.41
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54721CAMDDentist
A054721CAMDCardiovascular Disease Physician
A54721CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Cardiology Medical Group Inc Cardiovascular Disease CurrentSince Jul 1, 2006 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Usc Care Medical Group, Inc Past Accepting new patients

Locations

301 W Huntington Dr
Ste 301
Arcadia, CA 91007
Phone (626) 254-2007

201 S Buena Vista St
Ste 100
Burbank, CA 91505
Phone (818) 848-6404

1808 Verdugo Blvd
Ste 414
Glendale, CA 91208
Phone (818) 265-5400

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

625 S Fair Oaks Ave
Ste 215
Pasadena, CA 91105
Phone (626) 793-4139

145 Vista Ave
Ste 101
Pasadena, CA 91107
Phone 6267932885 ext. 520

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1334 W Covina Blvd
Ste 205
San Dimas, CA 91773
Phone (818) 915-4700

416 W Las Tunas Dr
Ste 205
San Gabriel, CA 91776
Phone (626) 571-7958

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: azhil.durairaj.p166@direct.healthcarepartners.nextgenshare.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1609826973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 E FOOTHILL BLVD",
            "address_2": "SUITE 130",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073142",
            "telephone_number": "626-793-2885",
            "fax_number": "626-793-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE",
            "address_2": "SUITE 215",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052615",
            "telephone_number": "626-793-4139",
            "fax_number": "626-793-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAIRAJ",
        "first_name": "AZHIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A054721",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A54721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W2223",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A547210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "DURAIRAJ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.