DR. AZRIEL AVEZBADALOV (D.O.) – Cardiovascular Disease Physician, NPI 1376833129

DR. AZRIEL AVEZBADALOV (D.O.) is a healthcare provider. based in Fort wayne, Indiana. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 267039 (NY). The NPI Number for DR. AZRIEL AVEZBADALOV (D.O.) is 1376833129

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. AZRIEL AVEZBADALOV (D.O.)
NPI
1376833129
Phone
(260) 479-3514
Address
6920 POINTE INVERNESS WAY STE 200
Enumeration Date
13 April 2011
Last Update Date
10 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8454835000
Graduation Year
2011 (15 years ago)
PAC ID
2961780499
Group Practice PAC ID
3173660776
Professional Enrollment ID
I20220803002258
Address ID
NY126011154PO241XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:15State licenses:4Digital endpointsOther names

722 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IN

Provider Addresses for DR. AZRIEL AVEZBADALOV (D.O.)

  • 6920 POINTE INVERNESS WAY STE 200

    FORT WAYNE, IN 468047934

    Phone: (260) 479-3514

    Fax: (260) 479-3520

    Type: Mailing

  • 7950 W JEFFERSON BLVD

    FORT WAYNE, IN 468044140

    Phone: (260) 432-2297

    Fax: (260) 434-6433

    Type: Location

  • 433 W High St

    Bryan, OH 435061690

    Phone: (419) 630-2028

    Fax: (419) 630-2029

    Type: Location

  • 7850 LAGO DEL MAR DR APT 116

    BOCA RATON, FL 334334984

    Phone: (646) 671-9252

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2024-05-28 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($93).

Total Amount

$93

General + Research + Ownership

Payments

12

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190823000572ICardiovascular Disease (Cardiology)INTBD
I20220803002258ICardiovascular Disease (Cardiology)NYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes131111$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes109108$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8351$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes7370$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function2020$0
View full utilization report →

Insurance plans in this area (ZIP 46804)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173660776View full group profile
NameSpecialtyState
-NY
Cardiac Surgery, General Surgery, Surgical Oncology, Thoracic SurgeryNY
-NY
Vascular SurgeryNY
Ophthalmology, PathologyNY
-NY
Nurse PractitionerNY
A N E S T H E S I O L O G YNY
-NY
-NY

Reviews

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Frequently asked questions

Can I verify DR. AZRIEL AVEZBADALOV (D.O.) with an NPI only?
You can start verification with NPI 1376833129 for DR. AZRIEL AVEZBADALOV (D.O.), then check state licensing separately.
Is DR. AZRIEL AVEZBADALOV (D.O.) listed as active for patients and plans?
The listing shows DR. AZRIEL AVEZBADALOV (D.O.) as active in the NPI system.
What is DR. AZRIEL AVEZBADALOV (D.O.)'s primary classification?
Cardiovascular Disease Physician is the headline specialty for DR. AZRIEL AVEZBADALOV (D.O.) here. Clinical services aligned with this taxonomy classification.
Does DR. AZRIEL AVEZBADALOV (D.O.) list a practice location?
Patients near Fort Wayne, Indiana may find DR. AZRIEL AVEZBADALOV (D.O.) in results; validate coverage separately.
Is the information about DR. AZRIEL AVEZBADALOV (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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