Individual provider Active NPI

Walid Hikmet Azzo, MD.PH.D.

  • Specialist
  • Bluefield, WV
National Provider Identifier
1679508337
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17728 Issued in WV
Practice address
512 Cherry St
Building I
Bluefield, WV 24701-3341
Phone
(304) 324-2725
Fax
(304) 324-2780
NPI assigned
Jul 11, 2006
Last updated
Oct 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17728 WV Primary

Addresses

Primary practice location

512 Cherry St
Building I
Bluefield, WV 24701-3341

Mailing address

PO Box 1696
Bluefield, WV 24701-1696
Phone (304) 324-2725

Other identifiers 2

IdentifierTypeStateIssuer
1478158OtherWVUMWA
0097968000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20091217000011 WV Practitioner - Orthopedic Surgery 5991879959 Receives reassigned benefits from 1 practitioner
Practice locations: Bluefield, WV; Princeton, WV
I20110107000874 VA Practitioner - Orthopedic Surgery 5991879959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Miami, LM Miller School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6719 Governor GC Peery Hwy
Suite 1250
Richlands, VA 24641-0379
Phone (276) 963-0333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Professional Physician Services LLC CurrentSince Feb 1, 2021 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Feb 1, 2021 Accepting new patients
East River Medical, PLLC Past Accepting new patients
Fayette Physician Network Inc PastSince May 6, 2026 Accepting new patients
Edward M. Litz, MD. P.C. Specialist Past Accepting new patients

Locations

1934 Leatherwood Ln
Bluefield, VA 24605
Phone (276) 596-6563

398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600

6719 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 596-6778

6719 Governor Gc Peery Hwy
Ste 1250
Richlands, VA 24641
Phone (276) 596-6695

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

Interoperability endpoints

  • Direct secure messaging: walid.azzo@vab.hcadirect.net
  • Direct secure messaging: walidazzo@xazo.ssdirect.aprima.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 6

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 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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1679508337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1696",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247011696",
            "telephone_number": "304-324-2725",
            "fax_number": "304-324-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 CHERRY ST",
            "address_2": "BUILDING I",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013341",
            "telephone_number": "304-324-2725",
            "fax_number": "304-324-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZO",
        "first_name": "WALID",
        "middle_name": "HIKMET",
        "name_prefix": "Dr.",
        "credential": "MD.PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "17728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1478158",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097968000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

Verify at the official NPI Registry.