Individual provider Active NPI

Mahmoud Awada, MD

  • Family Medicine Physician
  • Wayne, MI
National Provider Identifier
1083500680
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4351055332 Issued in MI
Practice address
33155 Annapolis St
Wayne, MI 48184-2405
Phone
(734) 467-4000
NPI assigned
Jun 18, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250703000531 MI Order and Referring Only - Family PracticePractitioner - Family Practice 2567975386

National Provider Directory

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4351055332 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

33155 Annapolis St
Wayne, MI 48184-2405

Mailing address

27283 Kingswood Dr
Dearborn Heights, MI 48127-3361
Phone (313) 404-6444

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2025.

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1083500680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27283 KINGSWOOD DR",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273361",
            "telephone_number": "313-404-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33155 ANNAPOLIS ST",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842405",
            "telephone_number": "734-467-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWADA",
        "first_name": "MAHMOUD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351055332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

Verify at the official NPI Registry.