Active NPI
Azhar A Talibi, M.D.
- Pediatrics Physician
- Richmond, VA
National Provider Identifier
1922097310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101231331
- Practice address
- 7023 Old Jahnke Rd
Richmond, VA 23225-4126 - Phone
- (804) 320-1353
- Fax
- (804) 320-6636
- NPI assigned
- Oct 18, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101231331 | VA | Primary |
Addresses
Primary practice location
7023 Old Jahnke Rd
Richmond, VA 23225-4126
Mailing address
7023 Old Jahnke Rd
Richmond, VA 23225-4126
Phone (804) 320-1353
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189789 | Other | VA | SOUTHERN HEALTH ID |
| 386295 | Other | VA | ANTHEM ID |
| 006739008 | Medicaid | VA | |
| 7467051 | Other | VA | CIGNA ID |
| 2109790 | Other | VA | MAMSI ID |
| 7276545 | Other | VA | AETNA/US HEALTHCARE ID |
| 1203029 | Other | VA | UNITED HEALTHCARE ID |
| 2095166 | Other | VA | FIRST HEALTH ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101231331 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Pediatrics | Specialist | Past | Accepting new patients |
Interoperability endpoints
- azhartalibi@cpam.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Specialist
- Richmond, VA
- NPI 1104917954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1922097310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7023 OLD JAHNKE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232254126",
"telephone_number": "804-320-1353",
"fax_number": "804-320-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7023 OLD JAHNKE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232254126",
"telephone_number": "804-320-1353",
"fax_number": "804-320-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALIBI",
"first_name": "AZHAR",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101231331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH ID",
"identifier": "189789",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ID",
"identifier": "386295",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006739008",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID",
"identifier": "7467051",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI ID",
"identifier": "2109790",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE ID",
"identifier": "7276545",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE ID",
"identifier": "1203029",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH ID",
"identifier": "2095166",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.