Individual provider Active NPI

Faris Sabri Azzouni, MD

  • Urology Physician
  • Hays, KS
National Provider Identifier
1619110608
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0436700 Issued in KS
Practice address
2214 Canterbury Dr
Suite 308
Hays, KS 67601-2386
Phone
(785) 628-6014
Fax
(785) 628-6094
NPI assigned
Apr 7, 2009
Last updated
Jul 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0436700 KS Primary

Addresses

Primary practice location

2214 Canterbury Dr
Suite 308
Hays, KS 67601-2386

Mailing address

2214 Canterbury Dr
Suite 308
Hays, KS 67601-2386
Phone (785) 628-6014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20130916000115 KS Practitioner - Urology 9739345422 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Healthcare CorporationGroup PAC ID 5294646477, 56 clinicians

Practice addresses (Care Compare)

600 Medical Ctr Dr
Newton, KS 67114-8780
Phone (316) 283-2700

800 Medical Ctr Dr
Newton, KS 67114-7808
Phone (316) 283-0027

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection21
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP563KYMDPediatric Emergency Medicine (Pediatrics) Physician
0436700KSMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minneola District Hospital NBR 2 Current Accepting new patients
Minneola District Hospital NBR 2 Current Accepting new patients
Delta Medix PC CurrentSince Dec 10, 2018 Accepting new patients
Minneola District Hospital NBR 2 CurrentSince Aug 1, 2022 Accepting new patients
Newton Healthcare Corporation CurrentSince Sep 1, 2023 Accepting new patients
Newton Healthcare Corporation CurrentSince Sep 1, 2023 Accepting new patients
Hays Medical Center, Inc. Urology Past Accepting new patients
Kentucky Addiction Centers Paintsville, LLC PastSince Mar 28, 2021 Accepting new patients

Locations

222 Main St
#97
Minneola, KS 67865
Phone (316) 885-4202

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

800 Medical Center Dr
Newton, KS 67114
Phone (316) 283-0027

300 Lackawanna Ave
Scranton, PA 18503
Phone (570) 342-7864

300 Lackawanna Ave
Unit 200
Scranton, PA 18503
Phone (570) 342-7864

5 Morgan Hwy
Ste 7
Scranton, PA 18508
Phone (570) 342-7864

Organizations & group practices 8

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 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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1619110608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 CANTERBURY DR",
            "address_2": "SUITE 308",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012386",
            "telephone_number": "785-628-6014",
            "fax_number": "785-628-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 CANTERBURY DR",
            "address_2": "SUITE 308",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012386",
            "telephone_number": "785-628-6014",
            "fax_number": "785-628-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZOUNI",
        "first_name": "FARIS",
        "middle_name": "SABRI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KS",
            "license": "0436700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.