Physician Compare National (NPI:1144480997)

HEALTHCARE PROVIDER: AIMEL AZIZI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1144480997
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345423158
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181004000719
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AZIZI
	Individual professional last name
Provider First Name	AIMEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CANYON OAKS HOSPITALIST MEDICAL GROUP PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4981955614
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	14
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	9440 POPPY DR
	Group Practice or individual's line 1 address
City	DALLAS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	752183652
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2143246100
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150021
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PARKVIEW REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	240075
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450237
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHRISTUS SANTA ROSA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450678
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	450801
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	CHRISTUS ST MICHAEL HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1144480997)

HEALTHCARE PROVIDER: AIMEL AZIZI MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information