NPIMap

Individual provider Active NPI

Mohammad Bilal Awan, M.D.

  • Internal Medicine Physician
  • Niagara Falls, NY
National Provider Identifier
1235665647
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
305455-01 Issued in NY
Practice address
4600 Military Rd
Niagara Falls, NY 14305-1338
Phone
(716) 298-4050
Fax
(716) 298-4098
NPI assigned
May 4, 2017
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 305455-01 NY Primary

Addresses

Primary practice location

4600 Military Rd
Niagara Falls, NY 14305-1338

Mailing address

4600 Military Rd Ste a
Niagara Falls, NY 14305-1338
Phone (716) 298-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015001713 NY Practitioner - Internal Medicine 6103163522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4600 Military Rd
Suite a
Niagara Falls, NY 14305-1338
Phone (716) 298-4050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305455-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince Jan 2, 2024 Accepting new patients
Niagara Falls Memorial Medical Center Internal Medicine CurrentSince Jan 2, 2024 Accepting new patients
Mount St. Mary's Hospital of Niagara Falls PastSince Jan 28, 2024 Accepting new patients

Locations

4600 Military Rd
Niagara Falls, NY 14305
Phone (716) 297-8709

4600 Military Rd
Ste A
Niagara Falls, NY 14305
Phone (716) 298-4050

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1235665647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MILITARY RD STE A",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051338",
            "telephone_number": "716-298-4050",
            "fax_number": "716-298-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051338",
            "telephone_number": "716-298-4050",
            "fax_number": "716-298-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAN",
        "first_name": "MOHAMMAD",
        "middle_name": "BILAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "305455-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.