Individual provider Active NPI

Aftab A Awan, MD

  • Neurology Physician
  • Albany, NY
National Provider Identifier
1316971880
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD61185856 Issued in WA
Practice address
315 S Manning Blvd
Albany, NY 12208-1707
Phone
(518) 525-6800
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X MD61185856 WA
Neurology Physician 2084N0400X 036-143847 IL
Interventional Pain Medicine Physician 208VP0014X MD61185856 WA
Neurology Physician 2084N0400X MD61185856 WA Primary
Emergency Medicine Physician 207P00000X 30343 IA
Neurology Physician 2084N0400X 345528 NY
Neurology Physician 2084N0400X 0101280393 VA

Addresses

Primary practice location

315 S Manning Blvd
Albany, NY 12208-1707

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2730

Other practice location 2

912 S Wood St
Chicago, IL 60612-4300
Phone (312) 996-6496

Other practice location 3

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL, WI, ND, WV, CT, VA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20040525001747 IA Practitioner - NeurologyPractitioner - General PracticePractitioner - Internal MedicinePractitioner - Pain ManagementPractitioner - Emergency Medicine 2860473998 Reassigns benefits to 2 organizations
I20171018003682 IL Practitioner - NeurologyPractitioner - Other (Physician) 2860473998 Reassigns benefits to 4 organizations
I20200723000848 WI Practitioner - Neurology 2860473998 Reassigns benefits to 1 organization
I20210601002595 ND Practitioner - Neurology 2860473998 Reassigns benefits to 1 organization
I20220414000267 WV Practitioner - Neurology 2860473998 Reassigns benefits to 1 organization
I20220423000059 CT Practitioner - Neurology 2860473998 Reassigns benefits to 1 organization
I20240116001167 VA Practitioner - Neurology 2860473998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Alexius Medical CenterGroup PAC ID 8426960865, 239 clinicians

Practice addresses (Care Compare)

900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-143847ILMDNeurology Physician
0101280393VAMDNeurology Physician
MD61185856WAMDNeurology Physician
30343IAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
St. Alexius Medical Center CurrentSince May 28, 2021 Accepting new patients
The Board of Trustees of the University of Illinois Neurology CurrentSince Aug 26, 2017 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Dec 1, 2023 Accepting new patients
Floyd County Memorial Hospital Commission Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 1, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 18, 2021 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Fairview Heights Medical Group SC CurrentSince Dec 1, 2023 Accepting new patients
University Healthcare Physicians Inc CurrentSince Feb 18, 2022 Accepting new patients
Bristol Hospital Multi Specialty Group, Inc CurrentSince Apr 1, 2022 Accepting new patients
University Healthcare Physicians, Inc. CurrentSince Feb 18, 2022 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Neurology CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 18, 2021 Accepting new patients
Floyd County Memorial Hospital Commission CurrentSince Oct 1, 2025 Accepting new patients
Floyd County Memorial Hospital Commission CurrentSince Oct 1, 2025 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 26, 2017 Accepting new patients
St Alexius Medical Center CurrentSince May 28, 2021 Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
Cardiovascular Associates PC Past Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients
Community Memorial Hospital Interventional Pain Medicine Past Accepting new patients
Stelzer Surgery, PC Past Accepting new patients
Prairie Trails Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

532 1st St NW
Britt, IA 50423
Phone (641) 843-4403

800 11th St
Charles City, IA 50616
Phone (641) 228-6830

100 Medical Pkwy
Ste A
Denison, IA 51442
Phone (712) 263-5021

1221 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-4200

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

5525 S Pulaski Rd
Chicago, IL 60629
Phone (773) 432-0100

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

912 S Wood St
Chicago, IL 60612
Phone (312) 996-2200

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

401 N 9th St
Bismarck, ND 58501
Phone (701) 530-6000

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

156 Health Care Ln
Martinsburg, WV 25401
Phone (304) 264-0704

Interoperability endpoints

  • Direct secure messaging: aawan321222@direct.wvuhsdirect.com
  • Direct secure messaging: aawan531666@direct.peacehealth.org
  • Direct secure messaging: aawan16868@uihealth.direct-ci.com

Organizations & group practices 25

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 25

Hospital & facility affiliations 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1316971880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-525-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-414-2730",
            "fax_number": "360-414-2739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 S Wood St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124300",
            "country_code": "US",
            "telephone_number": "312-996-6496",
            "fax_number": "312-413-8215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265360",
            "country_code": "US",
            "telephone_number": "618-257-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWAN",
        "first_name": "AFTAB",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "MD61185856",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-143847",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WA",
            "license": "MD61185856",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61185856",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "30343",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "345528",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101280393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4500 Memorial Dr",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.