Ashruth Azad, MD
Individual provider Active NPI Internal Medicine Physician · Lima, OH
NPI 1942528013 · NPPES record last updated Feb 18, 2021
Key facts
- NPI
- 1942528013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35.122111 (OH)
- Practice address
- 730 W Market St
Lima, OH 45801-4602 - Phone
- (419) 226-4310
- Fax
- (419) 226-4315
- NPI assigned
- May 13, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- KND Development 59 LLC
Mercy Health Physicians Lima Specialty Care LLC
Practice addresses (Care Compare)
730 W Market St
Lima, OH 45801-4602
Phone (419) 224-1888
Hospital & facility affiliations
- Mercy Health St Ritas Medical Center
- Lima Memorial Health System
- Kindred Hospital Lima
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130920000705 | OH | Practitioner - Internal Medicine | 7719121391 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48154 | KY | MD | Nephrology Physician |
| TP345 | KY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59, LLC | Current |
Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| KND Development 59 LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Lima Specialty Care LLC | Current |
Accepting new patients | |
| Scci Hospitals of America, LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Mercy Health-St Ritas Medical Center LLC | Past | Accepting new patients |
Locations
707 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 221-8000
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
770 W High St
Lima, OH 45801
Phone (419) 996-5240
Interoperability endpoints
- aazad83809@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | TP345 | KY | |
| Nephrology Physician | 207RN0300X | 48154 | KY | |
| Internal Medicine Physician | 207R00000X | 35.122111 | OH | Yes |
Addresses
Primary practice location
730 W Market St
Lima, OH 45801-4602
Mailing address
730 W Market St
Lima, OH 45801-4602
Phone (419) 226-4310
Other names
- Puthiyapurayil Azad Ashruth Chundngapuyil
Other providers in Lima, OH
- Heidi K Aust-Cox
- Elizabeth Demetric Austin
- Charbel Awad
- Bekele W Ayele
- Tammera Ayers
- Kemi Lanre Azeez
- Nnamdi Azie
- Dana Babani
- Georgina Babcock
- Lindsey M Babcock
All providers in Lima, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.