DR. AZRIEL AVEZBADALOV D.O.
NPI 1376833129
Internal Medicine - Cardiovascular Disease in Fort Wayne, IN
About Dr. Azriel Avezbadalov D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AZRIEL AVEZBADALOV D.O. (NPI 1376833129) is an individual cardiovascular disease provider in Fort Wayne, Indiana, licensed in Indiana (02005736A) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and maintains a secondary practice location in Bryan.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 4
Accepted Insurance
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. Azriel Avezbadalov D.o. 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.
Medicare Billing Reassignments
5Medicare enrollment records show Azriel Avezbadalov reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 301 clinicians in this Medicare group
Warsaw, NY 14569
- Reassigned Medicare billing, New York enrollment
- 1,030 clinicians in this Medicare group
Batavia, NY 14020
- Reassigned Medicare billing, New York enrollment
- 782 clinicians in this Medicare group
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 434 clinicians in this Medicare group
Valhalla, NY 10595
- Reassigned Medicare billing, New York enrollment
- 1,663 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Samaritan Medical Center
Acute Care Hospitals · Watertown, NYWestchester Medical Center
Acute Care Hospitals · Valhalla, NYUniversity Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYCommunity Hospitals And Wellness Centers
Acute Care Hospitals · Bryan, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
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 Azriel Avezbadalov's NPI number?
The NPI number for Azriel Avezbadalov is 1376833129. It was assigned to this individual provider in the NPPES registry on April 13, 2011.
Where is Azriel Avezbadalov located?
Azriel Avezbadalov practices at 7950 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-2297.
What is Azriel Avezbadalov's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Azriel Avezbadalov enrolled in Medicare?
Yes. Azriel Avezbadalov 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 organizations bill Medicare for Azriel Avezbadalov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Azriel Avezbadalov reassigns Medicare benefits to 5 organizations: Lutheran Medical Group LLC (Fort Wayne, IN), Western New York Medical Practice PC (Warsaw, NY), United Memorial Medical Center (Batavia, NY), Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In (Syracuse, NY) and Westchester Medical Center Advanced Physician Services PC (Valhalla, NY). Each 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 Azriel Avezbadalov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Azriel Avezbadalov accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Azriel Avezbadalov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Azriel Avezbadalov affiliated with any hospitals?
According to CMS data, Azriel Avezbadalov is affiliated with Samaritan Medical Center, Westchester Medical Center, University Hospital S U N Y Health Science Center and Community Hospitals And Wellness Centers.
When was this NPI record last updated?
The NPPES record for Azriel Avezbadalov was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Dr. Azriel Avezbadalov, D.O. · NPI 1376833129
Cardiovascular Disease physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since April 13, 2011.
## Identity
- **NPI:** 1376833129 (Entity type: Individual)
- **Enumerated:** April 13, 2011
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 02005736A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 7950 W JEFFERSON BLVD, Fort Wayne, IN 46804-4140
- **Phone:** (260) 432-2297 · **Fax:** (260) 434-6433
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Lutheran Medical Group LLC (NPI 1164662805, Fort Wayne, IN); Western New York Medical Practice PC (NPI 1306214689, Warsaw, NY); United Memorial Medical Center (NPI 1508260704, Batavia, NY); Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In (NPI 1063468239, Syracuse, NY); Westchester Medical Center Advanced Physician Services PC (NPI 1740687458, Valhalla, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** January 10, 2025
- **Other identifiers:** Medicaid 018825600 (FL); Medicaid 300029932 (IN); Other PENDING (FL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1376833129) · Data from the CMS NPPES public registry.