Organization Active NPI

Magdy K Awad, MD, SC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1265787881
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036051586 Issued in IL
Legal business name
MAGDY K AWAD, MD, SC
Practice address
5311 S Harlem Ave
Chicago, IL 60638-1006
Phone
(773) 586-0076
Fax
(773) 586-0052
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Magdy Awad, MD
Title
Owner
Phone
(630) 854-9421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 036051586 IL Primary

Addresses

Primary practice location

5311 S Harlem Ave
Chicago, IL 60638-1006

Mailing address

5311 S Harlem Ave
Chicago, IL 60638-1006
Phone (773) 586-0076

Other identifiers 2

IdentifierTypeStateIssuer
036051586MedicaidIL
21609841OtherILBLUE CROSS BLUE SHIELD OF ILLINOIS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250311002028 IL Part B Supplier - Clinic/Group Practice 2567690746 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1265787881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 S HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381006",
            "telephone_number": "773-586-0076",
            "fax_number": "773-586-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 S HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381006",
            "telephone_number": "773-586-0076",
            "fax_number": "773-586-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGDY K AWAD, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "MAGDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-854-9421",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036051586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051586",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
            "identifier": "21609841",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.