Active NPI
Azamuddin Khaja, M.D.
- Interventional Cardiology Physician
- Farmington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 2005024106
- Practice address
- 1151 Hazel LN
Farmington, MO 63640-1920 - Phone
- (573) 705-7870
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285664268
Internal Medicine, MO
-
- Cardiovascular Disease Physician
- Festus, MO
- NPI 1205476223
Cardiovascular Disease
-
- Multi-Specialty Clinic/Center
- Farmington, MO
- NPI 1427114990
-
- Cardiovascular Disease Physician
- Moberly, MO
- NPI 1760855738
Cardiovascular Disease
-
- Emergency Medicine Physician
- Moberly, MO
- NPI 1487895082
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ste Genevieve, MO
- NPI 1073587655
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physician Groups LC
Practice addresses (Care Compare)
1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6751
1103 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6751
1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195
1439 US Hwy 61
Suite a
Festus, MO 63028-4154
Phone (636) 543-7720
2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5772
513 W Pine St
Farmington, MO 63640-1439
Phone (573) 705-7870
Hospital & facility affiliations
- Parkland Health Center
- Mercy Hospital Jefferson
- Ste Genevieve County Memorial Hospital
- Parkland Health Center - Bonne Terre
- Washington County Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 21 |
| Pacemaker insertion or repair | 26 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 23 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061019000315 | MO | Practitioner - Interventional Cardiology | 7618973322 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-095412 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Groups LC | Current | Accepting new patients | |
| Mid-America Heart and Vascular, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Physician Groups LC | Internal Medicine | Current | Accepting new patients |
| Moberly HBP Medical Group LLC | Past | Accepting new patients | |
| Midwest Heart and Vein Center, LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
1439 US Highway 61
Ste A
Crystal Cty, MO 63028
Phone (636) 931-7101
1151 Hazel Ln
Farmington, MO 63640
Phone (573) 705-7870
513 W Pine St
Farmington, MO 63640
Phone (573) 701-0090
2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCFIAA/Endpoint/CCFIAA
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35-095412 | OH | |
| Cardiovascular Disease Physician | 207RC0000X | 2005024106 | MO | |
| Internal Medicine Physician | 207R00000X | 2005024106 | MO | |
| Interventional Cardiology Physician | 207RI0011X | 2005024106 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1151 Hazel LN
Farmington, MO 63640-1920
Mailing address
1151 Hazel LN
Farmington, MO 63640-1920
Phone (573) 705-7870
Other practice location 1
1439 US Highway 61 Ste A
Festus, MO 63028-4154
Phone (636) 931-7101
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024106 | Other | MO | MEDICAL LICENSE |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2025.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1699723486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 HAZEL LN",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401920",
"telephone_number": "573-705-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 HAZEL LN",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401920",
"telephone_number": "573-705-7870"
}
],
"practiceLocations": [
{
"address_1": "1439 US Highway 61 Ste A",
"address_purpose": "LOCATION",
"city": "Festus",
"state": "MO",
"postal_code": "630284154",
"country_code": "US",
"telephone_number": "636-931-7101",
"fax_number": "636-933-2383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAJA",
"first_name": "AZAMUDDIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35-095412",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2005024106",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2005024106",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MO",
"license": "2005024106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "024106",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "513 W Pine St",
"city": "Farmington",
"state": "MO",
"country_code": "US",
"postal_code": "636401439",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.