CMS-1500 Box 24J / 33a • NPI
1902908288
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
1300 S ELISEO DR, #203, GREENBRAE, CA, 94904-2023
✓ 9-Digit EDI 837 ZIP+4 (94904-2023)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1902908288 (NOOR SABA AZIMI, MD) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1902908288 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NOOR SABA AZIMI, MD |
| 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 | 1300 S ELISEO DR, #203, GREENBRAE, CA, 94904-2023 |
| Practice Telephone / Fax | Tel: (415) 461-3300 | Fax: (415) 461-3934 |
| Administrative Mailing Address | 1300 S ELISEO DR, GREENBRAE, CA, 94904-2023 |
| Enumeration & Last Sync | Enumerated: 2006-09-05 | CMS Record Updated: 2010-04-09 |
Clinic Location, Accessibility & Directions
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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)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NOOR SABA AZIMI, MD)
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
- 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 — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: CA | License: CA87104 | Primary: Secondary |
208C00000X — Colon & Rectal SurgeryPlain English: Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist) | State: CA | License: CA87104 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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