Mushtaq Ahmad Awan

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101040126 Issued in VA

Practice address

7115 Leesburg Pike
Suite # 315
Falls Church, VA 22043-2367

Phone

(703) 522-8840

NPI assigned

Oct 31, 2006

Last updated

Jan 21, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Waraich Medical Group Inc

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1790926665
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1275619363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 LEESBURG PIKE",
            "address_2": "SUITE # 315",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432367",
            "telephone_number": "703-522-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 LEESBURG PIKE",
            "address_2": "SUITE # 315",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432367",
            "telephone_number": "703-522-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAN",
        "first_name": "MUSHTAQ",
        "middle_name": "AHMAD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101040126",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101040126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007301006",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avivacare LLC
• Avivacare LLC
• Dan Avstreih, MD
• Madison Avva, MD
• Awaken Wellness Center, Inc.
• Omar Awan, MD
• Gifty Awenanya, PMHNP
• Aya Home Health Care LLC
• Alona C Ayer-Ziegler, M.S., CCC-SLP
• Gregory Ayscue, DPT

• General Practice Physician in Falls Church, VA
• Providers in Falls Church, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.