Active NPI
Michael Awadalla, M.D.
- Surgery Physician
- Cincinnati, OH
National Provider Identifier
1063849909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 57023284
- Practice address
- 4777 E Galbraith Rd
Cincinnati, OH 45236-2725 - Phone
- (513) 686-5466
- NPI assigned
- Oct 10, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 57023284 | OH | Primary |
Addresses
Primary practice location
4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Mailing address
7115 Ravens Run
Cincinnati, OH 45244-3594
Phone (859) 468-7698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57023284 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for Reproductive Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Reproductive Endocrinology Physician
- Cincinnati, OH
- NPI 1770748212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1063849909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7115 RAVENS RUN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452443594",
"telephone_number": "859-468-7698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4777 E GALBRAITH RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362725",
"telephone_number": "513-686-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWADALLA",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-10",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "57023284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.