AZADEH ROSE FAYAZI MD
NPI 1639388994
Pediatrics - Pediatric Critical Care Medicine in Palo Alto, CA

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2024, Nov 29, 2018 (2 updates tracked since 2018).

About Azadeh Rose Fayazi Md NPPES

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

AZADEH ROSE FAYAZI MD (NPI 1639388994) is an individual pediatric critical care medicine provider in Palo Alto, California, licensed in California (A115936) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1639388994
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameAZADEH ROSE FAYAZICredential: MD
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 22, 2007
Last NPPES UpdateApril 11, 20242 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
NPI 1639388994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in CA · A115936
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License A115936 (CA)
725 WELCH RD, Palo Alto, CA 94304

Secondary Practice Locations 2

Location 1630 Park View Dr Apt 212Santa Clara, CA 95054-3580 · Phone (614) 286-5096
Location 2770 Welch RdPalo Alto, CA 94304 · Phone (650) 736-9828

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

Azadeh Rose Fayazi 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 ID2769631431
PECOS Enrollment IDI20121012000722
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.

Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304

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 Azadeh Fayazi's NPI number?

The NPI number for Azadeh Fayazi is 1639388994. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Azadeh Fayazi located?

Azadeh Fayazi practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is Azadeh Fayazi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Azadeh Fayazi enrolled in Medicare?

Yes. Azadeh Fayazi 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 Azadeh Fayazi was last updated on April 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.