DR. RAMZI I AZZAM M.D., PH.D.
NPI 1205006954
Radiology - Diagnostic Radiology in Los Angeles, CA

Active since March 10, 2008PECOS EnrolledAccepts Medicare Assignment
1200 N STATE ST, ATTN RADIOLOGY D&T 3D321, LOS ANGELES, CA 90089(323) 409-7677 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ramzi I Azzam M.d., Ph.d. NPPES

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

DR. RAMZI I AZZAM M.D., PH.D. (NPI 1205006954) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A102375) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2006).

NPPES Registry Identity

NPI1205006954
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RAMZI I AZZAMCredential: M.D., PH.D.
Location Address1200 N STATE ST, ATTN RADIOLOGY D&T 3D321Los Angeles, CA 90089-1001
Mailing Address1200 N State St, Attn Radiology D&t 3d321Los Angeles, CA 90089-1001 · (323) 409-7677
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2006
Enumeration DateMarch 10, 2008
Last NPPES UpdateDecember 6, 2021
✔ NPI 1205006954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A102375
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License A102375 (CA)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License A102375 (CA)
1200 N STATE ST, Los Angeles, CA 90089

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ramzi I Azzam M.d., Ph.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 ID5890851372
PECOS Enrollment IDI20090309000177
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.

Medicare Billing Reassignment

Medicare enrollment records show Ramzi Azzam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90089 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Dermatology
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089

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 Ramzi Azzam's NPI number?

The NPI number for Ramzi Azzam is 1205006954. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Where is Ramzi Azzam located?

Ramzi Azzam practices at 1200 N State St Attn Radiology D&t 3d321, Los Angeles, CA 90089. The listed phone number is (323) 409-7677.

What is Ramzi Azzam's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ramzi Azzam enrolled in Medicare?

Yes. Ramzi Azzam 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.

Which organization bills Medicare for Ramzi Azzam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ramzi Azzam reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ramzi Azzam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ramzi Azzam was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.