AZRIEL AVEZBADALOV, D.O. — NPI 1376833129 (Board-Certified Cardiologist (Heart & Blood Vessel Specialist) in FORT WAYNE, IN)

CMS-1500 Box 24J / 33a • NPI

1376833129

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207RC0000X (CMS 06)

Board-Certified Cardiologist (Heart & Blood Vessel Specialist)

Box 32 Service Location & ZIP+4

7950 W JEFFERSON BLVD, FORT WAYNE, IN, 46804-4140

✓ 9-Digit EDI 837 ZIP+4 (46804-4140)

Practice Phone & Referral Fax

(260) 432-2297

Fax: (260) 434-6433

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1376833129 (AZRIEL AVEZBADALOV, D.O.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1376833129` (NPI-1 Individual Practitioner)
Provider / Legal Name	AZRIEL AVEZBADALOV, D.O.
Plain-English Specialty	Board-Certified Cardiologist (Heart & Blood Vessel Specialist) NUCC Code: `207RC0000X` (Internal Medicine, Cardiovascular Disease)
Certifying / Licensing Body	American Board of Internal Medicine — Cardiovascular Disease
Practice Location Address	7950 W JEFFERSON BLVD, FORT WAYNE, IN, 46804-4140
Practice Telephone / Fax	Tel: (260) 432-2297 \| Fax: (260) 434-6433
Administrative Mailing Address	7850 LAGO DEL MAR DR APT 116, BOCA RATON, FL, 33433-4984
Enumeration & Last Sync	Enumerated: 2011-04-13 \| CMS Record Updated: 2025-01-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

7950 W JEFFERSON BLVD, FORT WAYNE, IN, 46804-4140

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Plain-English Taxonomy & CMS Crosswalk (207RC0000X)

What Does Taxonomy Code 207RC0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0000X translates to:
"Board-Certified Cardiologist (Heart & Blood Vessel Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 06 (Physician/Cardiovascular Disease (Cardiology)) • CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine — Cardiovascular Disease
Clinical Scope: Chest pain (angina), palpitations, atrial fibrillation, heart murmurs, shortness of breath on exertion, resistant hypertension, or post-heart attack care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AZRIEL AVEZBADALOV, D.O.)

Typical CPT / Diagnostic Procedures:

Transthoracic Doppler Echocardiography (TTE — CPT 93306)
12-Lead Electrocardiogram (ECG) & Holter / Event Arrhythmia Monitoring
Exercise Treadmill & Myocardial Perfusion Nuclear Stress Testing
Diagnostic Coronary Angiography & Percutaneous Coronary Intervention (PCI)

Common Therapeutic Classes:

High-Intensity Statins (Atorvastatin, Rosuvastatin) & Ezetimibe
Beta-Blockers (Metoprolol Succinate, Carvedilol, Bisoprolol)
Sacubitril/Valsartan, Empagliflozin & Spironolactone (Heart Failure GDMT)
Apixaban, Rivaroxaban & Clopidogrel (Atrial Fibrillation & Stent Thrombosis Prevention)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RC0000X` — Internal Medicine, Cardiovascular Disease Plain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist)	State: NY \| License: `267039` \| Primary: Secondary
`207RC0000X` — Internal Medicine, Cardiovascular Disease Plain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist)	State: FL \| License: `OS13717` \| Primary: Secondary
`207RC0000X` — Internal Medicine, Cardiovascular Disease Plain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist)	State: OH \| License: `34.016578` \| Primary: Secondary
`207RC0000X` — Internal Medicine, Cardiovascular Disease Plain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist)	State: IN \| License: `02005736A` \| Primary: Yes (Primary)

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AZRIEL AVEZBADALOV, D.O. (NPI #1376833129)