Humza Shahid Azam, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5101019538 Issued in IL

Practice address

1010 Ranch Road 620 S Ste 107
Lakeway, TX 78734-5638

Phone

(512) 233-4606

NPI assigned

Jun 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 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

Specialty

Family Practice

Education

Midwestern University, Chicago College of Osteopathic Med, 2010

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Hill Country Health PLLCGroup PAC ID 1951716307, 2 clinicians

Lake Travis Emergency Physicians PLLCGroup PAC ID 7315291929, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Hill Country Health PLLC

  • Family Medicine Physician
  • Lakeway, TX
  • NPI 1720686496
  Medicare reassignment Care Compare group NPD
• Lake Travis Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1851803688
  Medicare reassignment Care Compare group NPD
• Brushy Creek Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Round Rock, TX
  • NPI 1235773151
  Medicare reassignment NPD
• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment NPD
• Cec Lakeway Urgent Care Physicians PLLC

  • Urgent Care Clinic/Center
  • Lakeway, TX
  • NPI 1285088161
  Medicare reassignment
• Leading Edge Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Horizon City, TX
  • NPI 1902324551
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1740576271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E WASHINGTON ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014364",
            "telephone_number": "309-665-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 RANCH ROAD 620 S STE 107",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345638",
            "telephone_number": "512-233-4606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617014364",
            "country_code": "US",
            "telephone_number": "309-665-5755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZAM",
        "first_name": "HUMZA",
        "middle_name": "SHAHID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "5101019538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Arredondo, LPC-A
• Pralay Atodaria
• Audere Health Solutions, LLC
• Austin Asthma & Lung Assoc., PA
• Austin Cosmetic Surgery
• Alain Richard Babin
• Rosalinda Alfaro Babin
• Rajesh Babu, MD
• Juan Badia
• Alicia Bagwell, DC

• Emergency Medicine Physician in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.

Verify at the official NPI Registry.