Individual provider Active NPI

Azadeh Ahmadian, M.D.

  • Cardiovascular Disease Physician
  • East Norriton, PA
National Provider Identifier
1639437841
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD463570 Issued in PA
Practice address
609 W Germantown Pike Ste 120
East Norriton, PA 19403-4243
Phone
(610) 279-1370
Fax
(610) 279-1372
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD463570 PA Primary

Addresses

Primary practice location

609 W Germantown Pike Ste 120
East Norriton, PA 19403-4243

Mailing address

207 N Broad St FL 3
Philadelphia, PA 19107-1500
Phone (610) 279-1370

Other practice location 1

100 Market St Ste 400
Collegeville, PA 19426-4927
Phone (610) 831-0300

Other identifiers 1

IdentifierTypeStateIssuer
103479546001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180510001833 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4284866062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Tufts University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Consultants of Philadelphia PCGroup PAC ID 5294620746, 154 clinicians

Practice addresses (Care Compare)

510 Township Line Rd
Suite 140
Blue Bell, PA 19422-2721
Phone (610) 279-7696

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
77.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266669MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Consultants of Philadelphia, P.C. Cardiovascular Disease CurrentSince Jul 1, 2018 Accepting new patients

Locations

510 Township Line Rd
Ste 140
Blue Bell, PA 19422
Phone (610) 279-7696

100 Market St
Ste 400
Collegeville, PA 19426
Phone (610) 831-0300

609 W Germantown Pike
Ste 120
Norristown, PA 19403
Phone (610) 279-1370

1703 S Broad St
Ste 300
Philadelphia, PA 19148
Phone (215) 462-7100

207 N Broad St
Fl 3
Philadelphia, PA 19107
Phone (215) 361-5020

Organizations & group practices 1

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 3

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": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1639437841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BROAD ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071500",
            "telephone_number": "610-279-1370",
            "fax_number": "610-279-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W GERMANTOWN PIKE STE 120",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034243",
            "telephone_number": "610-279-1370",
            "fax_number": "610-279-1372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Market St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "194264927",
            "country_code": "US",
            "telephone_number": "610-831-0300",
            "fax_number": "610-831-1334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMADIAN",
        "first_name": "AZADEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD463570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103479546001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.