MOHAMMAD ALI AL AZEM (M.D.) – Pulmonary Disease Physician, NPI 1174612477
Pulmonary Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
503 PULMONARY DISEASE in GA
Provider Addresses for MOHAMMAD ALI AL AZEM (M.D.)
1107 Memorial Dr Ste 100
Dalton, GA 307208662
Phone: (706) 529-3072
Type: Location
2701 N Decatur Rd
Decatur, GA 300335918
Phone: (404) 501-5422
Fax: (404) 501-1771
Type: Location
3747 ROSWELL RD STE 215
MARIETTA, GA 300626228
Phone: (770) 422-1372
Type: Location
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
ATLANTA, GA 303843631
Phone: (770) 740-0895
Fax: (770) 740-0896
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $729.
Total Amount is formed as General ($729) + Research ($0) + Ownership ($0) = $729.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($327).
Total Amount
$729
General + Research + Ownership
Payments
32
Total payment records
General Amount
$729
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $327 |
| Insmed, Inc. | $85 |
| Melinta Therapeutics, LLC | $61 |
| UCB, Inc. | $46 |
| CSL Behring | $33 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040819000340 | I | Pulmonary Disease | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 94729 | Test to examine how well the lungs exchange gases | 70 | 69 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 70 | 69 | $0 |
| 94726 | Test to determine lung volumes using sensors | 69 | 68 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 67 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 46 | $0 |
Insurance plans in this area (ZIP 30720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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