GANIYU AZEEZ (P.T.) – Physical Therapist, NPI 1982808747
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GANIYU AZEEZ (P.T.)
8691 Connecticut St Ste C
Merrillville, IN 464106239
Phone: (219) 516-1056
Type: Location
PO BOX 11269
MERRILLVILLE, IN 464111269
Phone: (219) 209-0472
Fax: (888) 727-6224
Type: Mailing
5265 COMMERCE BLVD STE D
CROWN POINT, IN 463075327
Phone: (219) 209-0472
Fax: (888) 727-6224
Type: Location
123 S McKinley Ave
Rensselaer, IN 479782949
Phone: (219) 516-1056
Fax: (888) 727-6224
Type: Location
5265 Commerce Blvd Ste D
Crown Point, IN 463075327
Phone: (219) 209-0472
Fax: (888) 727-6224
Type: Location
790 REMINGTON BLVD
BOLINGBROOK, IL 604404909
Phone: (866) 370-8206
Type: Mailing
7443 INDIANAPOLIS BLVD
HAMMOND, IN 463242909
Phone: (219) 844-8100
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: 2020-12-02
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 |
|---|---|---|---|---|
| I20201202000518 | I | Physical Therapist In Private Practice | IN | 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 46410)
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