Individual provider Active NPI

Rumana Awan, P.T.

  • Specialist
  • Grand Rapids, MI
National Provider Identifier
1114128097
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5501002980 Issued in MI
Practice address
1505 3 Mile Rd. N.W.
Ste. B
Grand Rapids, MI 49544
Phone
(616) 785-8535
Fax
(616) 785-1201
NPI assigned
May 30, 2007
Last updated
Oct 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5501002980 MI Primary

Addresses

Primary practice location

1505 3 Mile Rd. N.W.
Ste. B
Grand Rapids, MI 49544

Mailing address

0-535 Leonard N.W.
Grand Rapids, MI 49544
Phone (616) 791-2945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151022000202 MI Practitioner - Physical Therapist in Private Practice 2466559588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Awan and Associates PCGroup PAC ID 9739144643, 3 clinicians

Practice addresses (Care Compare)

7105 Allen Rd
Allen Park, MI 48101-2009
Phone (313) 381-7130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501002980MIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Awan and Associates PC CurrentSince Sep 1, 2015 Accepting new patients
Comprehensive Homecare, LLC CurrentSince Feb 1, 2009 Accepting new patients
Kasim LTD Current Accepting new patients

Locations

7105 Allen Rd
Allen Park, MI 48101
Phone (313) 381-7130

9740 Conant St
Ste 5
Hamtramck, MI 48212
Phone (248) 726-0127

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1114128097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0-535 LEONARD N.W.",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49544",
            "telephone_number": "616-791-2945",
            "fax_number": "616-785-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 3 MILE RD. N.W.",
            "address_2": "STE. B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49544",
            "telephone_number": "616-785-8535",
            "fax_number": "616-785-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAN",
        "first_name": "RUMANA",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "5501002980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.