Individual provider Active NPI

Eric Awwad, MD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1023051984
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01054040 Issued in IN
Practice address
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone
(317) 962-6793
Fax
(317) 962-8281
NPI assigned
Jun 14, 2006
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 01054040 IN
Diagnostic Radiology Physician 2085R0202X 01054040 IN Primary
Vascular & Interventional Radiology Physician 2085R0204X 01054040 IN

Addresses

Primary practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

714 N Senate Ave
Ste Ef250
Indianapolis, IN 46202-3763
Phone (317) 715-6402

Other identifiers 3

IdentifierTypeStateIssuer
100334310MedicaidIN
300122584OtherINRAILROAD MEDICARE
P00213565OtherINRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eawwad@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041022000954 IN Practitioner - Diagnostic Radiology 8921069949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Southwest School of Medicine and Hospital, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01054040INMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Indiana University Radiology Associates, Inc. Neuroradiology CurrentSince Jun 16, 2001 Accepting new patients
Indiana University Health, Inc Past Accepting new patients
Indiana Radiology Partners, Inc Neuroradiology Past Accepting new patients

Locations

5924 Reliable Pkwy
Chicago, IL 60686

11725 Illinois St
Ste 355
Carmel, IN 46032
Phone (317) 814-4533

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

250 University Blvd
Indianapolis, IN 46202
Phone (317) 274-8580

714 N Senate Ave
Ste EF250
Indianapolis, IN 46202

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

1000 S Main St
Tipton, IN 46072
Phone (765) 675-8500

Interoperability endpoints

  • Direct secure messaging: eawwad@direct.iuhealth.org
  • Direct secure messaging: eawwad15357@direct.eskenazihealth.edu

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1023051984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 N SENATE AVE",
            "address_2": "STE EF250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023763",
            "telephone_number": "317-715-6402",
            "fax_number": "317-715-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-6793",
            "fax_number": "317-962-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWWAD",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IN",
            "license": "01054040",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01054040",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01054040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100334310",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300122584",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00213565",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eawwad@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.