Individual provider Active NPI

Fahad Aziz, M.D

  • Nephrology Physician
  • Fitchburg, WI
National Provider Identifier
1881968188
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
64948 Issued in WI
Practice address
3034 Fish Hatchery Rd
Fitchburg, WI 53713-3125
Phone
(608) 270-5656
NPI assigned
Mar 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2014029667 MO
Internal Medicine Physician 207R00000X 64948 WI
Hospitalist Physician 208M00000X 2012-01401 NC
Nephrology Physician 207RN0300X 64948 WI Primary

Addresses

Primary practice location

3034 Fish Hatchery Rd
Fitchburg, WI 53713-3125

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 713-5215

Other identifiers 1

IdentifierTypeStateIssuer
5920673MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address faziz794613@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 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
I20160601001494 WI Practitioner - Nephrology 1456509637 Reassigns benefits to 1 organization
I20180214001461 IL Practitioner - NephrologyPractitioner - Internal Medicine 1456509637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians

Practice addresses (Care Compare)

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

612 Roxbury Rd
Rockford, IL 61107-5089
Phone (815) 227-8300

Hospital & facility affiliations

  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • Uw Health Hospital, Rockford, IL, CCN 140228
  • Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037
  • Thedacare Regional Med Ctr - Neenah Hospital, Neenah, WI, CCN 520045
  • Marshfield Medical Center - Eau Claire Hospital, Eau Claire, WI, CCN 520210

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64948WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Feb 1, 2018 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Feb 1, 2018 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

612 Roxbury Rd
Rockford, IL 61107
Phone (815) 227-8300

444 Roxbury Rd
Rockford, IL 61107
Phone (815) 395-9196

3034 Fish Hatchery Rd
Fitchburg, WI 53713
Phone (608) 270-5600

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

4100 State Highway 66
Stevens Point, WI 54482
Phone (715) 343-7700

1821 N 4th Ave
Wausau, WI 54401
Phone (715) 675-9451

Interoperability endpoints

  • Direct secure messaging: faziz794613@direct.uwhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1881968188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 FISH HATCHERY RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133125",
            "telephone_number": "608-270-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-713-5215",
            "fax_number": "336-716-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIZ",
        "first_name": "FAHAD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2014029667",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "64948",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2012-01401",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "64948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920673",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "faziz794613@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "3034 Fish Hatchery Rd",
            "city": "Fitchburg",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537133125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.