Individual provider Active NPI

Nnamdi Azie, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lima, OH
National Provider Identifier
1851366892
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35-090881 Issued in OH
Practice address
951 Commerce Pkwy
Suite 201
Lima, OH 45804-4040
Phone
(419) 227-7702
Fax
(419) 227-7991
NPI assigned
Feb 22, 2006
Last updated
Dec 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35-090881 OH Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C1-0010283 DE

Addresses

Primary practice location

951 Commerce Pkwy
Suite 201
Lima, OH 45804-4040

Mailing address

951 Commerce Pkwy
Suite 201
Lima, OH 45804-4040
Phone (419) 227-7702

Other identifiers 1

IdentifierTypeStateIssuer
2848431MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 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
I20080307000108 OH Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 2264483049 Reassigns benefits to 2 organizations
I20200410002021 NC Practitioner - Thoracic Surgery 2264483049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

30 E Apple St
Suite 6254
Dayton, OH 45409-2939
Phone (937) 208-2554

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-090881OHMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Southeastern Regional Physician Services CurrentSince Mar 10, 2020 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Sep 18, 2019 Accepting new patients
Southeastern Regional Physician Services CurrentSince Mar 10, 2020 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Sep 18, 2019 Accepting new patients
Premier Health Specialists Inc CurrentSince Jan 2, 2023 Accepting new patients
Premier Health Specialists Inc CurrentSince Jan 2, 2023 Accepting new patients
Miami Valley Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Miami Valley Heart & Lung Surgeons, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Feb 2, 2004 Accepting new patients
Advanced Heart & Lung Surgeons, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

2600 N Elm St
Lumberton, NC 28358
Phone (910) 671-5290

2936 N Elm St
#102
Lumberton, NC 28358
Phone (910) 671-6619

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

30 E Apple St
#6254
Dayton, OH 45409
Phone (937) 208-2554

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 11

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 2

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1851366892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 COMMERCE PKWY",
            "address_2": "SUITE 201",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044040",
            "telephone_number": "419-227-7702",
            "fax_number": "419-227-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 COMMERCE PKWY",
            "address_2": "SUITE 201",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044040",
            "telephone_number": "419-227-7702",
            "fax_number": "419-227-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIE",
        "first_name": "NNAMDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35-090881",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "DE",
            "license": "C1-0010283",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2848431",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.