Individual provider Active NPI

Yair Azoulay, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clearwater, FL
National Provider Identifier
1952892762
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4531 Issued in FL
Practice address
6021 142ND Ave N
Clearwater, FL 33760-2822
Phone
(727) 431-4850
Fax
(727) 669-8417
NPI assigned
May 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X PO4531 FL Primary

Addresses

Primary practice location

6021 142ND Ave N
Clearwater, FL 33760-2822

Mailing address

3376 Juniper LN
Davie, FL 33330-1370
Phone (561) 289-0714

Other practice location 1

3801 Miranda Ave Uppr
Palo Alto, CA 94304-1207
Phone (561) 289-0714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603000532 FL Practitioner - Podiatry 6103368436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KG Health Partners IncGroup PAC ID 7214820976, 19 clinicians

Practice addresses (Care Compare)

6021 142ND Ave N
Clearwater, FL 33760-2822
Phone (727) 796-6900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of nail tissue4868
Removal or shaving of skin growth660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4531FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Solutions of America, Inc. CurrentSince Oct 21, 2025 Accepting new patients
KG Health Partners, Inc CurrentSince May 6, 2024 Accepting new patients

Locations

6021 142nd Ave N
Clearwater, FL 33760
Phone (727) 431-4850

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1952892762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3376 JUNIPER LN",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301370",
            "telephone_number": "561-289-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 142ND AVE N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602822",
            "telephone_number": "727-431-4850",
            "fax_number": "727-669-8417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Miranda Ave Uppr",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041207",
            "country_code": "US",
            "telephone_number": "561-289-0714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZOULAY",
        "first_name": "YAIR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.