Individual provider Active NPI

Azfar Khan Niazi, MD

  • Internal Medicine Physician
  • Bloomington, IL
National Provider Identifier
1942879309
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036171898 Issued in IL
Practice address
1505 Eastland Dr Ste 330
Bloomington, IL 61701-7912
Phone
(309) 662-3311
Fax
(309) 662-9709
NPI assigned
Jun 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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 D0100147 MD
Hospitalist Physician 208M00000X D0100147 MD
Hospitalist Physician 208M00000X 036171898 IL
Internal Medicine Physician 207R00000X 036171898 IL Primary

Addresses

Primary practice location

1505 Eastland Dr Ste 330
Bloomington, IL 61701-7912

Mailing address

1505 Eastland Dr Ste 330
Bloomington, IL 61701-7912
Phone (309) 662-3311

Other practice location 1

6701 N Charles St Ste 5202
Baltimore, MD 21204-6808
Phone (443) 849-8046

Other practice location 2

6565 N Charles St Ste 203
Towson, MD 21204-5805
Phone (443) 849-3760

Other identifiers 2

IdentifierTypeStateIssuer
UPINOtherN/A
UPINMedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, 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
I20240729003502 MD Practitioner - HospitalistPractitioner - Internal Medicine 7719388610 Reassigns benefits to 1 organization
I20241219002108 IL Practitioner - Internal Medicine 7719388610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-5361

405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
85.51
Promoting interoperability
100
Improvement activities
40
Cost
65.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036171898ILMDHospitalist Physician
D0100147MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Dec 4, 2024 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Jul 7, 2024 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Jul 7, 2024 Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Jul 20, 2025 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Jan 7, 2025 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine Current Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Dec 4, 2024 Accepting new patients

Locations

1505 Eastland Dr
Ste 330
Bloomington, IL 61701
Phone (309) 662-3311

405 W Jackson St
Carbondale, IL 62901

201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760

Interoperability endpoints

  • Direct secure messaging: aniazi80458@sih.direct-ci.com
  • Direct secure messaging: aniazi58082@gbmcdirect.org

Organizations & group practices 9

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 4

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1942879309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR STE 330",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017912",
            "telephone_number": "309-662-3311",
            "fax_number": "309-662-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR STE 330",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017912",
            "telephone_number": "309-662-3311",
            "fax_number": "309-662-9709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 N Charles St Ste 5202",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212046808",
            "country_code": "US",
            "telephone_number": "443-849-8046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 N Charles St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212045805",
            "country_code": "US",
            "telephone_number": "443-849-3760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIAZI",
        "first_name": "AZFAR",
        "middle_name": "KHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0100147",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D0100147",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036171898",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036171898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "UPIN",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UPIN",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.