Active NPI
Azfar Khan Niazi, MD
- Internal Medicine Physician
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036171898
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UPIN | Other | N/A | |
| UPIN | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- St Joseph Medical Center
- Herrin Hospital
- Saint James Hospital
- Memorial Hospital of Carbondale
- Saint Francis Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.41 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036171898 | IL | MD | Hospitalist Physician |
| D0100147 | MD | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Hospitalist | Current | Accepting new patients |
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists | Hospitalist | Current | Accepting new patients |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| Cep America-Illinois Hospitalists, LLP | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, PC | Hospitalist | Current | 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
- aniazi80458@sih.direct-ci.com
- 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.
-
- Hospitalist Physician
- Ottawa, IL
- NPI 1346480431
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba GBMC Dept of OBGYN, L&D
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1891855763
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
dba Richard E. Hoover Low Vision Rehabilitation Services
- Ophthalmology Physician
- Baltimore, MD
- NPI 1164675906
-
- Sleep Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1538029731
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Osf Saint James-John W Albrecht Medical Center
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
-
dba Memorial Hospital of Carbondale
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
dba Herrin Hospital
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
-
dba OSF Saint Joseph Medical Center
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.