Jacob Azizi

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PR819 Issued in FL

Practice address

1100 NW 95TH St
Miami, FL 33150-2038

Phone

(305) 615-8405

NPI assigned

Jul 19, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Podiatry

Education

Western Un of HLTH Sciences, Col of Podiatric Med, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ashkan Soleymani, DPM, Inc

  • Foot & Ankle Surgery Podiatrist
  • Inglewood, CA
  • NPI 1043252513
  Medicare reassignment

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1992485411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552805",
            "telephone_number": "305-264-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502038",
            "telephone_number": "305-615-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZI",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PR819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Azeredo
• Mariam Azim, MD
• Adel Aziz, MD, MSCBR
• Muhammad Aziz, M.D.
• Karla Marie Azize
• Azj Medical Center Inc
• Lisbet Aznay
• Ivon Marilin Aznielles
• Christelle Reyna Azolin
• Azor Health Inc

• Foot & Ankle Surgery Podiatrist in Miami, FL
• Providers in Miami, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.

Verify at the official NPI Registry.