FEREYDOUN AZADI, M.D. — NPI 1790714541 (Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist) in MODESTO, CA)

CMS-1500 Box 24J / 33a • NPI

1790714541

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208C00000X (CMS 02)

Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist)

Box 32 Service Location & ZIP+4

1401 SPANOS CT STE 127, MODESTO, CA, 95355

Official NPPES Practice Location

Practice Phone & Referral Fax

(209) 525-3848

Fax: (209) 525-3886

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1790714541 (FEREYDOUN AZADI, M.D.) 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	`1790714541` (NPI-1 Individual Practitioner)
Provider / Legal Name	FEREYDOUN AZADI, M.D.
Plain-English Specialty	Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist) NUCC Code: `208C00000X` (Colon & Rectal Surgery)
Certifying / Licensing Body	American Board of Colon and Rectal Surgery (ABCRS)
Practice Location Address	1401 SPANOS CT STE 127, MODESTO, CA, 95355
Practice Telephone / Fax	Tel: (209) 525-3848 \| Fax: (209) 525-3886
Administrative Mailing Address	15 LOMBARD LN, LAFAYETTE, CA, 94549
Enumeration & Last Sync	Enumerated: 2006-07-02 \| CMS Record Updated: 2025-09-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1401 SPANOS CT STE 127, MODESTO, CA, 95355

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Plain-English Taxonomy & CMS Crosswalk (208C00000X)

What Does Taxonomy Code 208C00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208C00000X translates to:
"Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 28 (Physician/Colorectal Surgery (Proctology))
Certifying / Accrediting Authority: American Board of Colon and Rectal Surgery (ABCRS)
Clinical Scope: Grade II–IV internal or thrombosed external hemorrhoids, painless bright red rectal bleeding, anal fissures, perianal abscess/fistula, or colon surgery.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (FEREYDOUN AZADI, M.D.)

Typical CPT / Diagnostic Procedures:

Diagnostic Anoscopy & Rigid/Flexible Sigmoidoscopy (CPT 46600)
Rubber Band Ligation of Internal Hemorrhoids (CPT 46221)
Excisional Hemorrhoidectomy, Fistulotomy & Lateral Internal Sphincterotomy
Laparoscopic & Robotic Colectomy for Colorectal Neoplasia

Common Therapeutic Classes:

Topical Hydrocortisone, Pramoxine & Nifedipine/Diltiazem Anorectal Ointments
Micronized Purified Flavonoid Fraction (Diosmin/Hesperidin) & Psyllium Fiber
Preoperative Oral Antibiotic Bowel Preparation Regimens

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: CA \| License: `A31338` \| Primary: Secondary
`2086S0102X` — Surgery, Surgical Critical Care Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Critical Care	State: CA \| License: `A31338` \| Primary: Secondary
`2086S0127X` — Surgery, Trauma Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Trauma Surgery	State: CA \| License: `A31338` \| Primary: Secondary
`2086S0129X` — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery	State: CA \| License: `A31338` \| Primary: Secondary
`208C00000X` — Colon & Rectal Surgery Plain English: Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist)	State: CA \| License: `A31338` \| Primary: Yes (Primary)

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FEREYDOUN AZADI, M.D. (NPI #1790714541)