Individual provider Active NPI

Amged Abdelmonim Tagelsir Abdelaziz, MD

  • Interventional Cardiology Physician
  • Portland, OR
National Provider Identifier
1972703536
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD212152 Issued in OR
Practice address
3303 S Bond Ave
Portland, OR 97239-4501
Phone
(503) 494-1775
Fax
(503) 494-4749
NPI assigned
Jul 23, 2007
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD212152 OR
Cardiovascular Disease Physician 207RC0000X 4301090853 MI
Cardiovascular Disease Physician 207RC0000X MD212152 OR
Interventional Cardiology Physician 207RI0011X 4301090853 MI
Interventional Cardiology Physician 207RI0011X MD2026-0310 NM
Interventional Cardiology Physician 207RI0011X MD212152 OR Primary

Addresses

Primary practice location

3303 S Bond Ave
Portland, OR 97239-4501

Mailing address

3303 S Bond Ave
Portland, OR 97239-4501
Phone (503) 494-1775

Other practice location 1

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1000

Other practice location 2

407 S Schwartz Ave Ste 202
Farmington, NM 87401-5925
Phone (505) 609-6770

Other practice location 3

560 Osborn Blvd Unit 2E
Sault Sainte Marie, MI 49783-1985
Phone (906) 253-0668

Other practice location 4

80 Seymour St
Hartford Hospital, Interventional Cardiology Fellowship
Hartford, CT 06102-8000
Phone (860) 972-2977

Other practice location 5

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

Other names 1

  • Amged Abdelmonim Tagelsir Abdelaziz Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aabdelaziz116707@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WV, NM3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20101007000681 MI Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1759573835 Reassigns benefits to 6 organizations
I20260413000315 WV Practitioner - Interventional Cardiology 1759573835 Reassigns benefits to 3 organizations
I20260425000410 NM Practitioner - Interventional Cardiology 1759573835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ark Cardiovascular and Arrhythmia Center PLCGroup PAC ID 6204059470, 9 clinicians

Practice addresses (Care Compare)

2000 Foundation Way
Suite 1200
Martinsburg, WV 25401-9030
Phone (304) 350-3273

407 S Schwartz Ave
202 Sjrmc Heart Center
Farmington, NM 87401-5925
Phone (505) 609-6770

6050 Greenfield Rd
Suite 101
Dearborn, MI 48126-6004
Phone (313) 945-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD212152ORMDCardiovascular Disease Physician
MD2026-0310NMMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Internal Medicine CurrentSince Nov 18, 2019 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Nov 18, 2019 Accepting new patients
McLaren Medical Group CurrentSince Nov 20, 2023 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Northern Michigan CurrentSince Jul 10, 2023 Accepting new patients
McLaren Medical Group Internal Medicine CurrentSince Nov 20, 2023 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Mar 8, 2020 Accepting new patients
Ark Cardiovascular & Arrhythmia Center PLC Interventional Cardiology CurrentSince Oct 1, 2020 Accepting new patients
McLaren Central Michigan CurrentSince Sep 1, 2020 Accepting new patients
McLaren Northern Michigan CurrentSince Jul 10, 2023 Accepting new patients
McLaren Central Michigan CurrentSince Sep 1, 2020 Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

748 S Main St
Cheboygan, MI 49721
Phone (231) 627-1289

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

468 Cadieux Rd
Grosse Pointe Woods, MI 48230
Phone (313) 343-1000

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585

560 Osborn Blvd
Unit 2E
Sault Sainte Marie, MI 49783
Phone (906) 253-0668

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4000

Interoperability endpoints

  • Direct secure messaging: aabdelaziz116707@direct.beaumont.edu
  • Direct secure messaging: aabdelaziz377870@direct.hfhs.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1972703536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 S BOND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394501",
            "telephone_number": "503-494-1775",
            "fax_number": "503-494-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S BOND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394501",
            "telephone_number": "503-494-1775",
            "fax_number": "503-494-4749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "468 Cadieux Rd",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe",
            "state": "MI",
            "postal_code": "482301507",
            "country_code": "US",
            "telephone_number": "313-473-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 S Schwartz Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874015925",
            "country_code": "US",
            "telephone_number": "505-609-6770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 Osborn Blvd Unit 2E",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497831985",
            "country_code": "US",
            "telephone_number": "906-253-0668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 SEYMOUR ST",
            "address_2": "HARTFORD HOSPITAL, INTERVENTIONAL CARDIOLOGY FELLOWSHIP",
            "address_purpose": "LOCATION",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "country_code": "US",
            "telephone_number": "860-972-2977",
            "fax_number": "860-545-3557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33155 Annapolis St",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481842405",
            "country_code": "US",
            "telephone_number": "734-467-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELAZIZ",
        "first_name": "AMGED",
        "middle_name": "ABDELMONIM TAGELSIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD212152",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301090853",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD212152",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301090853",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NM",
            "license": "MD2026-0310",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OR",
            "license": "MD212152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aabdelaziz116707@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "33155 Annapolis St",
            "city": "Wayne",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481842405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMGED",
            "last_name": "ABDELAZIZ",
            "middle_name": "ABDELMONIM TAGELSIR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.