Mahdi M Awwad, M.D.

Key facts

NPI

1023375995

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

Q9118 (TX)

Practice address

4010 W Park Blvd
Plano, TX 75093-3839

Phone

(724) 824-2919

NPI assigned

Apr 17, 2012

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Bella Medical, PLLC Family Medicine Physician · Plano, TX · NPI 1841942646
  Medicare reassignment NPD Authorized official FAMILY MEDICINE · TX
• University of Texas Southwestern Medical Center at Dallas Anesthesiology Physician · Dallas, TX · NPI 1942270566
  Medicare reassignment NPD TX
• The University of Texas Southwestern Medical Center at Dallas Clinical Medical Laboratory · Dallas, TX · NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas Internal Medicine Physician · El Paso, TX · NPI 1235384199
  NPD
• The Metrohealth System General Acute Care Hospital · Cleveland, OH · NPI 1700828852
  NPD

Medicare Care Compare profile

Specialty

Family Practice
Also: Obstetrics/Gynecology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mawwad50250@direct.metrohealth.org
• FHIR API: https://fhir4.healow.com/fhir/r4/HDEICD
• Direct secure messaging: mahdi.awwad@bmpl.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HDEICD/Endpoint/HDEICD

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2022.

{
    "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": []
}

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