Active NPI
Michele Azer, MD
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD069553L
- Practice address
- 501 S 54TH St
Academic ER SVCS - ER Dept
Philadelphia, PA 19143-1900 - Phone
- (215) 748-9435
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD069553L | PA | Primary |
Addresses
Primary practice location
501 S 54TH St
Academic ER SVCS - ER Dept
Philadelphia, PA 19143-1900
Mailing address
12 Gill St
Ste 3000
Woburn, MA 01801-1728
Phone (781) 937-4522
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0526420000 | Other | PA | KEYSTONE |
| 001806512 | Medicaid | PA | |
| 0018065120001 | Other | PA | PROMISE |
| 1133008 | Other | PA | KEYSTONE MERCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20101019000193 | PA | Practitioner - Emergency Medicine | 8325231756 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Rochester School of Medicine and Dentistry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Health Mid-Atlantic Medical GroupCep America LLC
Practice addresses (Care Compare)
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000
Hospital & facility affiliations
- Mercy Catholic Medical Center- Mercy Fitzgerald
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100
1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000
1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000
Interoperability endpoints
- https://api.platform.athenahealth.com/16196/brand/1/csg/1/fhir/r4
Organizations & group practices 24
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1770519787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 GILL ST",
"address_2": "STE 3000",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011728",
"telephone_number": "781-937-4522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S 54TH ST",
"address_2": "ACADEMIC ER SVCS - ER DEPT",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191431900",
"telephone_number": "215-748-9435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZER",
"first_name": "MICHELE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD069553L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0526420000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001806512",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROMISE",
"identifier": "0018065120001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1133008",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.