Malalai Azmi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101235956 Issued in VA

Practice address

12454 Hartley St
Stony Creek, VA 23882-3302

Phone

(434) 246-6100

Fax

(434) 246-6614

NPI assigned

Jan 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Family Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stony Creek Community Health CenterGroup PAC ID 5395710057, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southside Regional Home Health Home health agency, Petersburg, VA, CCN 497072
• Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
• Bon Secours Southern Virginia Medical Center Hospital, Emporia, VA, CCN 490097

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: malalai.azmi@scch.eclinicaldirectplus.com

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.

• Stony Creek Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Stony Creek, VA
  • NPI 1376515031

  VA

  Medicare reassignment Care Compare group NPD
• Stony Creek Community Health Center

  • Community/Retail Pharmacy
  • Stony Creek, VA
  • NPI 1538268404
  NPD (past)

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

• Bon Secours Mercy Health Emporia LLC

  • General Acute Care Hospital
  • Emporia, VA
  • NPI 1104461276

  Hospital

  Care Compare affiliation
• Bon Secours Mercy Health Petersburg LLC

  • General Acute Care Hospital
  • Petersburg, VA
  • NPI 1720623853

  Hospital

  Care Compare affiliation
• Petersburg Home Care Services LLC

  • Home Health Agency
  • Petersburg, VA
  • NPI 1386623700
  Care Compare affiliation

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1891766549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12454 HARTLEY ST",
            "address_2": "PO BOX 188",
            "city": "STONY CREEK",
            "state": "VA",
            "postal_code": "238823302",
            "telephone_number": "434-246-6100",
            "fax_number": "434-246-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12454 HARTLEY ST",
            "city": "STONY CREEK",
            "state": "VA",
            "postal_code": "238823302",
            "telephone_number": "434-246-6100",
            "fax_number": "434-246-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZMI",
        "first_name": "MALALAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101235956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Acosta
• Dante Bowles
• Lashana Carey
• D19 Transportation Service Inc.
• D19 Transportation Service Inc.
• D19 Transportation Service, LLC.

• All providers in Stony Creek, VA
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.

Verify at the official NPI Registry.