AZZAM MEDICAL SERVICES LLC – Physical Medicine & Rehabilitation Physician, NPI 1801203369
Physical Medicine & Rehabilitation Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AZZAM MEDICAL SERVICES LLC
820 GOLF COURSE RD
BESSEMER, AL 350226024
Phone: (205) 425-5241
Fax: (205) 426-6262
Type: Location
101 1ST AVE NE
SUITE 150
CULLMAN, AL 350552967
Phone: (256) 734-2977
Fax: (888) 298-8524
Type: Mailing
144 County Highway 14
Winfield, AL 355945570
Phone: (205) 487-4211
Fax: (205) 487-4214
Type: Location
106 10th Ave NW
Red Bay, AL 355823800
Phone: (256) 356-4982
Fax: (256) 356-8400
Type: Location
PO BOX 361585
BIRMINGHAM, AL 352361585
Phone:
Fax: (888) 298-8524
Type: Mailing
2052 BLACKRIDGE RD
HOOVER, AL 352445243
Phone: (205) 425-5241
Fax: (205) 426-6262
Type: Location
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: 2014-09-19
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 |
|---|---|---|---|---|
| O20140919001445 | O | Clinic/Group Practice | AL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35022)
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