HISHAM MOHAMED ABDEL-AZIM MD
NPI 1114018694
Pediatrics - Pediatric Hematology-Oncology in Los Angeles, CA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
4650 W SUNSET BLVD, MS# 62, LOS ANGELES, CA 90027(323) 669-4559(323) 660-1904 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hisham Mohamed Abdel-azim Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HISHAM MOHAMED ABDEL-AZIM MD (NPI 1114018694) is an individual pediatric hematology-oncology provider in Los Angeles, California, licensed in California (A79947) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1114018694
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameHISHAM MOHAMED ABDEL-AZIMCredential: MD
Location Address4650 W SUNSET BLVD, MS# 62Los Angeles, CA 90027-6062
Mailing Address6430 W Sunset Blvd, Suite 600Los Angeles, CA 90028-7901 · (323) 669-2337 · Fax (323) 644-8488
Fax(323) 660-1904
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1114018694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in CA · A79947
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
4650 W SUNSET BLVD, Los Angeles, CA 90027

Other Identifiers 3

Medicare ID-Type UnspecifiedWA79947ACA
Medicare UPINI51172CA
Medicaid00A799470CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hisham Mohamed Abdel-azim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284643909
PECOS Enrollment IDI20060407000254
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hisham Abdel-azim's NPI number?

The NPI number for Hisham Abdel-azim is 1114018694. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Hisham Abdel-azim located?

Hisham Abdel-azim practices at 4650 W Sunset Blvd Ms# 62, Los Angeles, CA 90027. The listed phone number is (323) 669-4559.

What is Hisham Abdel-azim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Hisham Abdel-azim enrolled in Medicare?

Yes. Hisham Abdel-azim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Hisham Abdel-azim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.