Nabila Fatima Azam, M.D
Individual provider Active NPI Internal Medicine Physician · Buffalo, NY
NPI 1982834859 · NPPES record last updated Jun 4, 2019
Key facts
- NPI
- 1982834859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 296022 (NY)
- Practice address
- 462 Grider St
Buffalo, NY 14215-3098 - Phone
- (716) 898-3152
- NPI assigned
- Jul 24, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apogee Medical Group, New York, PC
Practice addresses (Care Compare)
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000
Hospital & facility affiliations
- Erie County Medical Center
- Olean General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.4 of 100
- Quality
- 72.79
- Improvement activities
- 40
- Cost
- 71.22
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20181115000236 | NY | Practitioner - Internal Medicine | 8022269380 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250862 | MA | MD | Internal Medicine Physician |
| 296022 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group, New York, PC | Internal Medicine | Current |
Accepting new patients |
| Academic Medicine Services, Inc. | Internal Medicine | Current |
Accepting new patients |
| Adult Medical Services, P.C. | Internal Medicine | Current |
Accepting new patients |
| Brockton Neighborhood Health Center, Inc. | Past |
Accepting new patients |
Locations
462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
515 Main St
Olean, NY 14760
Phone (716) 373-2600
6645 Main St
Ste A
Williamsville, NY 14221
Phone (716) 276-8726
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 250862 | MA | |
| Internal Medicine Physician | 207R00000X | 296022 | NY | Yes |
Addresses
Primary practice location
462 Grider St
Buffalo, NY 14215-3098
Mailing address
908 Niagara Falls Blvd Ste 208
North Tonawanda, NY 14120-2019
Phone (716) 692-3302
Other providers in Buffalo, NY
- Bilal Ayach
- Shwe Aye
- Fathima Shehnaz Ayoobkhan
- Kimberly Saundrea Aytch
- Farhan Azad
- Melissa Anne Azaula
- Alexis Lynn Aziz
- Ba Transport Services, Inc
- Anita Baar
- Abdul Hanan Babar
All providers in Buffalo, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2019. 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.