Active NPI
Muhammad Azeem, M.D.
- Family Medicine Physician
- McAlester, OK
National Provider Identifier
1770535924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24377
- Practice address
- 1 E Clark Bass Blvd
McAlester, OK 74501-4209 - Phone
- (918) 426-1800
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 24377 | OK | |
| Family Medicine Physician | 207Q00000X | 24377 | OK | Primary |
Addresses
Primary practice location
1 E Clark Bass Blvd
McAlester, OK 74501-4209
Mailing address
5509 Long Leaf Dr
Wichita Falls, TX 76310-3470
Phone (940) 691-3594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20071115000644 | TX | Practitioner - Family Practice | 7315952025 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness & Care Group of Texas, Inc. | Current | Accepting new patients | |
| Frontier Hospitals, Inc. | Family Medicine | Past | Accepting new patients |
| Washita Emergency Physicians LLC | Past | Accepting new patients | |
| KTX Emergency Physicians PLLC | Past | Accepting new patients | |
| Campion Emergency Physicians PLLC | Past | Accepting new patients | |
| Whitney Hospital Authority | Past | Accepting new patients |
Locations
6407 S Cooper St
Ste 117
Arlington, TX 76001
Phone (469) 482-0861
21175 Tomball Pkwy
Houston, TX 77070
Phone (281) 251-5544
22625 State Highway 249
Ste 450
Tomball, TX 77375
Phone (214) 506-1136
Interoperability endpoints
- mazeem16098@direct.phhs.org
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Pauls Valley, OK
- NPI 1932159233
-
- Emergency Medicine Physician
- Irving, TX
- NPI 1558551168
-
- Emergency Medicine Physician
- Wichita Falls, TX
- NPI 1013194554
-
- Rural Health Clinic/Center
- Whitney, TX
- NPI 1942621388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1770535924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5509 LONG LEAF DR",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763103470",
"telephone_number": "940-691-3594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E CLARK BASS BLVD",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014209",
"telephone_number": "918-426-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZEEM",
"first_name": "MUHAMMAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "OK",
"license": "24377",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "24377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.