Fahmeeda Awan, MBBS

Individual provider Active NPI Cardiovascular Disease Physician · Globe, AZ

NPI 1003602590 · NPPES record last updated Apr 19, 2025

Key facts

NPI
1003602590
Entity type
Individual (NPI type 1)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
License
R81474 (AZ)
Practice address
5882 S Hospital Dr Ste 1
Globe, AZ 85501-9455
Phone
(928) 793-3747
Fax
(928) 793-3745
NPI assigned
Apr 19, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250430003700 AZ Practitioner - Cardiovascular Disease (Cardiology) 6406372515 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R81474AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abdul Memon, MD, PLLC Cardiovascular Disease Current
since May 1, 2025
Accepting new patients
San Carlos Apache Healthcare Corporation Past Accepting new patients

Locations

5882 S Hospital Dr
Ste 1
Globe, AZ 85501
Phone (928) 425-2474

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R81474 AZ Yes

Addresses

Primary practice location

5882 S Hospital Dr Ste 1
Globe, AZ 85501-9455

Mailing address

5882 S Hospital Dr Ste 1
Globe, AZ 85501-9455
Phone (928) 793-3747

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 19, 2025.

{
    "created_epoch": "1745020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1003602590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5882 S HOSPITAL DR STE 1",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019455",
            "telephone_number": "928-793-3747",
            "fax_number": "928-793-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5882 S HOSPITAL DR STE 1",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019455",
            "telephone_number": "928-793-3747",
            "fax_number": "928-793-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAN",
        "first_name": "FAHMEEDA",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-19",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "R81474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Globe, AZ

All providers in Globe, AZ · Cardiovascular Disease Physician in Arizona

Sources for this page

Verify at the official NPI Registry.