Individual provider Active NPI

Aza Fahed, MD

  • Pediatrics Physician
  • Aurora, CO
National Provider Identifier
1992813133
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DH000906519 Issued in CO
Practice address
3292 Peoria St
Aurora, CO 80010-1517
Phone
(303) 360-6276
Fax
(303) 467-5355
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DH000906519 CO Primary

Addresses

Primary practice location

3292 Peoria St
Aurora, CO 80010-1517

Mailing address

7495 W 29TH Ave
Wheat Ridge, CO 80033-8002
Phone (303) 360-6276

Other identifiers 1

IdentifierTypeStateIssuer
91433771MedicaidCO

Other names 1

  • Aza Nahas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230213001936 CO Practitioner - Pediatric Medicine 5799922373 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DH000906519COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network Inc Current Accepting new patients
Metro Community Provider Network Inc CurrentSince Sep 28, 2022 Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Sep 28, 2022 Accepting new patients

Locations

3292 Peoria St
Aurora, CO 80010
Phone (303) 343-6130

2255 S Oneida St
Denver, CO 80224

3701 S Broadway
Englewood, CO 80113

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

7495 W 29th Ave
Wheat Ridge, CO 80033
Phone (303) 239-9964

Organizations & group practices 3

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1992813133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7495 W 29TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800338002",
            "telephone_number": "303-360-6276",
            "fax_number": "303-467-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 PEORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101517",
            "telephone_number": "303-360-6276",
            "fax_number": "303-467-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHED",
        "first_name": "AZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DH000906519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91433771",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AZA",
            "last_name": "NAHAS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.