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AZUKA S ITABOR M.D.
NPI 1164771374
Family Medicine in Schenectady, NY

Active since September 04, 2012PECOS EnrolledAccepts Medicare Assignment
624 MCCLELLAN ST, SUITE 101, SCHENECTADY, NY 12304(518) 382-2260(518) 347-5007 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Azuka S Itabor M.d. NPPES

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

AZUKA S ITABOR M.D. (NPI 1164771374) is an individual family medicine provider in Schenectady, New York, licensed in New York (280483) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Ellis Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1164771374
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameAZUKA S ITABORCredential: M.D.
Location Address624 MCCLELLAN ST, SUITE 101Schenectady, NY 12304-1020
Mailing Address624 Mcclellan St, Suite 101Schenectady, NY 12304-1020 · (518) 382-2260 · Fax (518) 347-5007
Phone(518) 382-2260
Fax(518) 347-5007
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 4, 2012
Last NPPES UpdateJune 30, 2015
✔ NPI 1164771374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 280483
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 280483 (NY)
624 MCCLELLAN ST, Schenectady, NY 12304
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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

Azuka S Itabor M.d. 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 ID446566491
PECOS Enrollment IDI20150904001927
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. PATRICIA A FOX MD
Plastic Surgery
624 MCCLELLAN ST, SUITE 203
SCHENECTADY, NY 12304
Schenectady County (518) 346-2358
CLAIRE S. NADLER D.O.
Family Medicine
624 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304
Schenectady County (518) 382-2260
INNESA SARKISOVA M.D.
Family Medicine
624 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304
Schenectady County (518) 347-5293
DR. RAPHY R REBANAL MD
Surgery
624 MCCLELLAN ST, SUITE 202
SCHENECTADY, NY 12304
Schenectady County (518) 377-6429
NATALIA TODD M.D.
Student in an Organized Health Care Education/Training Program
624 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304
Schenectady County (518) 347-5293
LAUREN SEQUEIRA M.D.
Family Medicine
624 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304
Schenectady County (518) 347-5293
JESSICA LONGSTRETH LMSW
Social Worker
624 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304
Schenectady County (518) 382-2260
PAUL A BRISSON M.D.
Surgery
624 MCCLELLAN ST, SUITE 202
SCHENECTADY, NY 12304
Schenectady County (518) 377-6429

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 Azuka Itabor's NPI number?

The NPI number for Azuka Itabor is 1164771374. It was assigned to this individual provider in the NPPES registry on September 4, 2012.

Where is Azuka Itabor located?

Azuka Itabor practices at 624 Mcclellan St Suite 101, Schenectady, NY 12304. The listed phone number is (518) 382-2260.

What is Azuka Itabor's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Azuka Itabor enrolled in Medicare?

Yes. Azuka Itabor 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.

Is Azuka Itabor affiliated with any hospitals?

According to CMS data, Azuka Itabor is affiliated with Ellis Hospital.

When was this NPI record last updated?

The NPPES record for Azuka Itabor was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.