Khalid J Awan, MD
Individual provider Active NPI Ophthalmology Physician · Norton, VA
NPI 1164526364 · NPPES record last updated Jan 26, 2009
Key facts
- NPI
- 1164526364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 0101021992 (VA)
- Practice address
- 1921 Park Ave SW
Norton, VA 24273 - Phone
- (276) 679-4567
- Fax
- (276) 679-5736
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Pennsylvania State University College of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1921 Park Swave
Norton, VA 24273-1610
Phone (276) 679-4567
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110418000505 | VA | Practitioner - Ophthalmology | 0840474789 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Awan Ophthalmology Clinic | Ophthalmology | Current |
Accepting new patients |
Locations
1921 Park Ave SW
Norton, VA 24273
Phone (276) 679-4567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101021992 | VA | Yes |
Addresses
Primary practice location
1921 Park Ave SW
Norton, VA 24273
Mailing address
1921 Park Ave SW
Norton, VA 24273
Phone (276) 679-4567
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1458222 | Other | UMWA | |
| TN0102 | Other | JOHN DEERE | |
| 288838 | Other | VA | ANTHEM |
| 181888586 | Other | RAILROAD MEDICARE | |
| 7102000 | Other | BCBS MICHIGAN | |
| 8786 | Other | ANCTRY KY | |
| 006895400 | Other | FEDERAL BLACK LUNG | |
| 223599700 | Other | US FORESTRY SERVICE | |
| 5393077 | Other | AETNA |
Other providers in Norton, VA
- Appalachian Rehabilitation Team, Inc
- Aspire Prosthetics and Rehabilitation Associates
- Associated Orthopaedics of Kingsport PC
- Association of University Radiologists, PC
- Awan Ophthalmology Clinic
- B & B Medical PC
- Thongdang Banchuin
- Jeewan Baniya
- Amor A. Barongan
- Pablo P. Barongan
All providers in Norton, VA · Ophthalmology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.