Abu Azizullah MD PA
NPI 1609064724 · Internal Medicine Physician · Lady Lake, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Abu Azizullah MD PA is a Internal Medicine Physician organization in Lady Lake, FL (NPI 1609064724).
Provider details
- NPI number
- 1609064724
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Abu Azizullah, Physician/Owner(352) 391-5299
- License
- ME86965 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-15
- Last updated
- 2011-07-20
Frequently asked questions
- What is Abu Azizullah MD PA's NPI number?
- Abu Azizullah MD PA's National Provider Identifier (NPI) is 1609064724, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Abu Azizullah MD PA?
- Abu Azizullah MD PA is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Abu Azizullah MD PA located?
- Abu Azizullah MD PA's practice location on file with NPPES is 8550 Ne 138th Ln, Lady Lake, FL 32159-8957.
- What is Abu Azizullah MD PA's phone number?
- The practice phone number listed in the NPPES registry for Abu Azizullah MD PA is (352) 391-5299.
- Does Abu Azizullah MD PA accept Medicare?
- Abu Azizullah MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Abu Azizullah MD PA?
- The authorized official listed on Abu Azizullah MD PA's NPPES record is Abu Azizullah, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Abu Azizullah MD PA's NPI active?
- Yes — Abu Azizullah MD PA's NPI (1609064724) is active in the NPPES registry as of the last update on 2011-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.