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SURAIYA KHANOM AZOM M.D.
NPI 1619319894
Family Medicine in Wayne, MI

Active since July 29, 2013PECOS EnrolledAccepts Medicare Assignment
33155 ANNAPOLIS ST, WAYNE, MI 48184(734) 467-2482 Get Directions Write a Review

NPPES record last updated: July 29, 2013. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Suraiya Khanom Azom M.d. NPPES

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

SURAIYA KHANOM AZOM M.D. (NPI 1619319894) is an individual family medicine provider in Wayne, Michigan, licensed in Michigan (4301104094) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and is a graduate of Wayne State University School Of Medicine (2013).

NPPES Registry Identity

NPI1619319894
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSURAIYA KHANOM AZOMCredential: M.D.
Location Address33155 ANNAPOLIS STWayne, MI 48184-2405
Mailing Address33155 Annapolis StWayne, MI 48184-2405 · (734) 467-2482
Phone(734) 467-2482
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2013
Enumeration DateJuly 29, 2013
✔ NPI 1619319894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301104094
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.
33155 ANNAPOLIS ST, Wayne, MI 48184
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Suraiya Khanom Azom 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 ID2062711682
PECOS Enrollment IDI20160624001299
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
134 services71 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
61 services61 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
44 services43 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
21 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services14 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Henry Ford Health Wyandotte Hospital

Acute Care Hospitals · Wyandotte, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230146
Location2333 Biddle AveWyandotte, MI 48192 · Wayne County
Emergency services Birthing friendly

Corewell Health Trenton Hospital

Acute Care Hospitals · Trenton, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230176
Location5450 Fort StreetTrenton, MI 48183 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital - Taylor

Acute Care Hospitals · Taylor, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230270
Location10000 Telegraph RoadTaylor, MI 48180 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48184 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers16 claims50 services$6.64 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers17 claims23 services$1.09 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers24 claims24 services$3.78 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers30 claims30 services$59.08 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims19 services$29.49 avg. paid by Medicare
Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$60.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CHRISTOPHER LAJEUNESSE MD
Family Medicine
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-2483
NASSRINE NAIM DO
Family Medicine
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000
ELIZABETH LEWANDOWSKI
Family Medicine
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000
DR. SUSAN HORLING D.O.
Emergency Medicine
33155 ANNAPOLIS ST, EMERGENCY MEDICINE DEPARTMENT
WAYNE, MI 48184
Wayne County (734) 467-4042
MRS. KIMBERLY ANN HARBER CRNA
Nurse Anesthetist, Certified Registered
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000
TERA MELANNE GOLDMAKHER MD
Emergency Medicine
33155 ANNAPOLIS ST, EMERGENCY DEPT
WAYNE, MI 48184
Wayne County (734) 467-4042
KERRILY QUAY RN,MSN,ACAGNP-BC
Nurse Practitioner
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000
STEPHEN VENABLE MD, MPH, RN
Family Medicine
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000

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 Suraiya Azom's NPI number?

The NPI number for Suraiya Azom is 1619319894. It was assigned to this individual provider in the NPPES registry on July 29, 2013.

Where is Suraiya Azom located?

Suraiya Azom practices at 33155 Annapolis St, Wayne, MI 48184. The listed phone number is (734) 467-2482.

What is Suraiya Azom's specialty?

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

Is Suraiya Azom enrolled in Medicare?

Yes. Suraiya Azom 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.

What insurance does Suraiya Azom accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, AvMed and Blue Care Network of Michigan and 4 other insurers list Suraiya Azom 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 Suraiya Azom affiliated with any hospitals?

According to CMS data, Suraiya Azom is affiliated with Beaumont Hospital - Dearborn, Beaumont Hospital Royal Oak, Henry Ford Health Wyandotte Hospital, Corewell Health Trenton Hospital and Beaumont Hospital - Taylor.

When was this NPI record last updated?

The NPPES record for Suraiya Azom was last updated on July 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.