Active NPI
Mahdi M Awwad, M.D.
- Family Medicine Physician
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q9118
- Practice address
- 4010 W Park Blvd
Plano, TX 75093-3839 - Phone
- (724) 824-2919
- NPI assigned
- Apr 17, 2012
- Last updated
- Sep 9, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26421 | WV | |
| Family Medicine Physician | 207Q00000X | Q9118 | TX | Primary |
Addresses
Primary practice location
4010 W Park Blvd
Plano, TX 75093-3839
Mailing address
4010 W Park Blvd
Plano, TX 75093-3839
Phone (693) 484-1244
Other practice location 1
171 Taylor St
Harpers Ferry, WV 25425-3641
Phone (304) 535-6343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4010 W Park Blvd
Plano, TX 75093-3839
Phone (972) 482-4291
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26421 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Bella Medical, PLLC | Family Medicine | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients |
Locations
8194 Walnut Hill Ln
Ste 100
Dallas, TX 75231
Phone (214) 645-3900
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
4301 Saturn Rd
Ste 201
Garland, TX 75041
Phone (214) 275-7200
3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484
4010 W Park Blvd
Plano, TX 75093
Phone (972) 362-9567
3030 Waterview Pkwy
Richardson, TX 75080
Phone (972) 669-7070
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDEICD
- https://fhir4.healow.com/fhir/r4/HDEICD/Endpoint/HDEICD
- mahdi.awwad@bmpl.eclinicaldirectplus.com
- mawwad50250@direct.metrohealth.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Plano, TX
- NPI 1841942646
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1235384199
-
dba Metrohealth Medical Center
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1023375995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 W PARK BLVD",
"city": "PLANO",
"state": "TX",
"postal_code": "750933839",
"telephone_number": "693-484-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 W PARK BLVD",
"city": "PLANO",
"state": "TX",
"postal_code": "750933839",
"telephone_number": "724-824-2919"
}
],
"practiceLocations": [
{
"address_1": "171 Taylor St",
"address_purpose": "LOCATION",
"city": "Harpers Ferry",
"state": "WV",
"postal_code": "254253641",
"country_code": "US",
"telephone_number": "304-535-6343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AWWAD",
"first_name": "MAHDI",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-17",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "26421",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q9118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.