Individual provider Active NPI

Mohammed A Aziz, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Lagrangeville, NY
National Provider Identifier
1992780456
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
231334 Issued in NY
Practice address
1 Lee LN
Lagrangeville, NY 12540-6326
Phone
(845) 455-4959
NPI assigned
Dec 7, 2005
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 231334 NY
Pulmonary Disease Physician 207RP1001X 231334 NY
Sleep Medicine (Internal Medicine) Physician 207RS0012X 231334 NY Primary
Internal Medicine Physician 207R00000X 231334 NY

Addresses

Primary practice location

1 Lee LN
Lagrangeville, NY 12540-6326

Mailing address

1 Lee LN
Lagrangeville, NY 12540-6326

Other identifiers 1

IdentifierTypeStateIssuer
02205489MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, PA, CT4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040823000089 NY Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 2163496530 Reassigns benefits to 2 organizations
I20140408002184 NJ Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2163496530 Reassigns benefits to 1 organization
I20190103002958 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2163496530 Reassigns benefits to 1 organization
I20210909002909 CT Practitioner - Internal Medicine 2163496530 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1302NYMDAcupuncturist
231334NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Pulmonary Disease CurrentSince Jan 2, 2019 Accepting new patients
State of Connecticut CurrentSince Jul 20, 2021 Accepting new patients
Guthrie Medical Group, P.C. Internal Medicine CurrentSince Jan 2, 2019 Accepting new patients
State of Connecticut CurrentSince Jul 20, 2021 Accepting new patients
Staten Island Medical Intensivist PC Internal Medicine CurrentSince Dec 1, 2004 Accepting new patients
Critical Care Physician of New York PC Critical Care Medicine CurrentSince Mar 1, 2014 Accepting new patients
Eriver Neurology of New York. LLC CurrentSince Apr 1, 2007 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Samaritan Medical Services, P.C. Internal Medicine Past Accepting new patients
Kennedy Medical Group Practice, P.C. Internal Medicine Past Accepting new patients

Locations

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400

21 Fox St
Poughkeepsie, NY 12601

21 Fox St
Ste 102
Poughkeepsie, NY 12601
Phone 84542597950

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJIAAA
  • Direct secure messaging: maziz141482@direct-guthrie.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1992780456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEE LN",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125406326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LEE LN",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125406326",
            "telephone_number": "845-455-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZ",
        "first_name": "MOHAMMED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "231334",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "231334",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "231334",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "231334",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02205489",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrangeville, NY

Sources for this page

Verify at the official NPI Registry.