DR. KENNETH NAJEEB AZAN (MD) – Internal Medicine Physician, NPI 1003843848

DR. KENNETH NAJEEB AZAN (MD) is a healthcare provider. based in Sedalia, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. R6443 (MO). The NPI Number for DR. KENNETH NAJEEB AZAN (MD) is 1003843848

Main info

Male
57 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH NAJEEB AZAN (MD)
NPI
1003843848
Phone
(660) 827-2535
Address
1718 S INGRAM AVE
Enumeration Date
27 June 2006
Last Update Date
21 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6608268833
Graduation Year
1969 (57 years ago)
PAC ID
5799827192
Group Practice PAC ID
6103714126
Professional Enrollment ID
I20100123000011
Address ID
MO653015972SE601XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

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Provider Addresses for DR. KENNETH NAJEEB AZAN (MD)

  • 1718, South Ingram Avenue, Sedalia, Pettis County, Missouri, 65301, United States

    SUITE C

    SEDALIA, MO 653017505

    Phone: (660) 827-2535

    Fax: (660) 826-5228

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-01-23

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100123000011IInternal MedicineMOTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only466328$0
99214Established patient office or other outpatient visit, 30-39 minutes459191$0
99213Established patient office or other outpatient visit, 20-29 minutes431192$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report279122$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function215207$0
View full utilization report →

Insurance plans in this area (ZIP 65301)

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Provider's Procedures

DR. KENNETH NAJEEB AZAN (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMO81002Urinalysis, manual test7152

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: 6103714126View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
-MO
-MO
A N E S T H E S I O L O G YKS
A N E S T H E S I O L O G YMO
Hematology/Oncology, Internal MedicineMO
Certified Clinical Nurse Specialist (Cns)MO
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)MO
Family PracticeMO

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KENNETH NAJEEB AZAN (MD)?
NPI 1003843848 is assigned to DR. KENNETH NAJEEB AZAN (MD) under the national enumeration system.
Is DR. KENNETH NAJEEB AZAN (MD) currently active in the NPI registry?
CMS-published data lists DR. KENNETH NAJEEB AZAN (MD) as an active registrant.
What field does DR. KENNETH NAJEEB AZAN (MD) work in?
You can think of DR. KENNETH NAJEEB AZAN (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. KENNETH NAJEEB AZAN (MD)?
We surface Sedalia, Missouri for DR. KENNETH NAJEEB AZAN (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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