AZRIEL AVEZBADALOV D.O. – NPI #1376833129
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

AZRIEL AVEZBADALOV is a physician located in FORT WAYNE, IN. NPPES has assigned the NPI number 1376833129 to AZRIEL AVEZBADALOV on April 13, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Jan 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AZRIEL AVEZBADALOV below.

NPI Profile for
AZRIEL AVEZBADALOV

NPI Number
1376833129
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
AZRIEL AVEZBADALOV
Credentials
D.O.
Primary location
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone: (260) 432-2297 Fax: (260) 434-6433
1 Other location(s):
433 W High St
Bryan, OH 43506-1690
Phone: (419) 630-2028
Fax: (419) 630-2029
Mailing address
7850 LAGO DEL MAR DR APT 116
BOCA RATON, FL 33433-4984
Phone: (646) 671-9252 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AZRIEL AVEZBADALOV

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICAREFLPENDING
otherMEDICAREIN260690286
medicaidFL018825600
medicaidIN300029932
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 NY 267039

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
AZRIEL AVEZBADALOV is affiliated with the following medical group(s):
  • HOSPITAL
    • LEE MEMORIAL HOSPITAL
      2776 CLEVELAND AVE
      FORT MYERS, FL 33901
    • LUTHERAN HOSPITAL OF INDIANA
      7910 W JEFFERSON BLVD
      FORT WAYNE, IN 46804

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.