Individual provider Active NPI

Ambreen Azhar

  • Nephrology Physician
  • Nyc, NY
National Provider Identifier
1669979720
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
NONE Issued in NY
Practice address
St Lukes Hospital Mount Sinai
1111 Amsterdam Ave
Nyc, NY 10025
Phone
(212) 523-3530
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NONE NY Primary

Addresses

Primary practice location

St Lukes Hospital Mount Sinai
1111 Amsterdam Ave
Nyc, NY 10025

Mailing address

10 Amsterdam Avenue
Apt 304
Nyc, NY 10023

Other practice location 1

st lukes hospital mountsinai
1111 amsterdam Avenue
nyc, NY 10025
Phone (212) 523-3530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210823001475 VA Practitioner - NephrologyPractitioner - Internal Medicine 0840536850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

9109 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 828-7929

Hospital & facility affiliations

  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Community Memorial Hospital Hospital, South Hill, VA, CCN 490098

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NONENYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Jul 1, 2021 Accepting new patients

Locations

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

9109 Stony Point Dr
Richmond, VA 23235
Phone (804) 827-8000

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1669979720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AMSTERDAM AVENUE",
            "address_2": "APT 304",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST LUKES HOSPITAL MOUNT SINAI",
            "address_2": "1111 AMSTERDAM AVE",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-523-3530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "st lukes hospital mountsinai",
            "address_2": "1111 amsterdam Avenue",
            "address_purpose": "LOCATION",
            "city": "nyc",
            "state": "NY",
            "postal_code": "10025",
            "country_code": "US",
            "telephone_number": "212-523-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZHAR",
        "first_name": "AMBREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyc, NY

Sources for this page

Verify at the official NPI Registry.