Individual provider Active NPI

Azade Izadi, M.D.

  • Hospitalist Physician
  • Boston, MA
National Provider Identifier
1801051321
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A71801 Issued in CA
Practice address
139A Charles St
#220
Boston, MA 02114-3252
Phone
(508) 327-7075
NPI assigned
Jul 24, 2008
Reactivated
Dec 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00039210 WA
Hospitalist Physician 208M00000X 202800 MA
Hospitalist Physician 208M00000X A71801 CA Primary

Addresses

Primary practice location

139A Charles St
#220
Boston, MA 02114-3252

Mailing address

139A Charles St
# 220
Boston, MA 02114-3252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 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

Enrollment IDStateProvider typePAC IDDetails
I20060302000723 CA Practitioner - HospitalistPractitioner - Orthopedic Surgery 2567478340 Reassigns benefits to 2 organizations
I20060321000140 WA Practitioner - Internal Medicine 2567478340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Washington School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00039210WAMDInternal Medicine Physician
A71801CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jan 1, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Pacific Redwood Medical Group Inc Internal Medicine CurrentSince Jul 15, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Northwest Hospital Medicine Physicians LLC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Pacific Redwood Medical Services Internal Medicine Past Accepting new patients

Locations

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1801051321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139A CHARLES ST",
            "address_2": "# 220",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139A CHARLES ST",
            "address_2": "#220",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143252",
            "telephone_number": "508-327-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZADI",
        "first_name": "AZADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "deactivation_date": "2019-09-03",
        "reactivation_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00039210",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "202800",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A71801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.