Individual provider Active NPI

Ramsen Azizi, M.D.

  • Plastic Surgery Physician
  • Chicago, IL
National Provider Identifier
1760619019
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
36128420 Issued in IL
Practice address
331 W Surf St Ste 902
Chicago, IL 60657
Phone
(312) 337-3010
Fax
(312) 800-0031
NPI assigned
Jun 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 36128420 IL
Plastic Surgery Physician 208200000X 36128420 IL Primary

Addresses

Primary practice location

331 W Surf St Ste 902
Chicago, IL 60657

Mailing address

331 W Surf St Ste 902
Chicago, IL 60657-7227
Phone (312) 337-3010

Other practice location 1

60 E Delaware Pl
Suite 1430
Chicago, IL 60611-1998
Phone (312) 337-3010

Other practice location 2

60 E Delaware Pl
Suite 1430
Chicago, IL 60611-1998
Phone (312) 337-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36128420ILMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1244937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1760619019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 W SURF ST STE 902",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577227",
            "telephone_number": "312-337-3010",
            "fax_number": "312-800-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W SURF ST STE 902",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "312-337-3010",
            "fax_number": "312-800-0031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 E Delaware Pl",
            "address_2": "Suite 1430",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606111998",
            "country_code": "US",
            "telephone_number": "312-337-3010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 E Delaware Pl",
            "address_2": "Suite 1430",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606111998",
            "country_code": "US",
            "telephone_number": "312-337-3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIZI",
        "first_name": "RAMSEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-14",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "36128420",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "36128420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.