Talha Abdul Awwal, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD2021-0612 Issued in NM

Practice address

101 S Canal St
Carlsbad, NM 88220-5713

Phone

(575) 234-1466

Fax

(575) 628-1099

NPI assigned

Aug 7, 2018

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

Medicare fee-for-service enrollment

Enrolled in NM, IL2 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 2

Specialty

Internal Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Board of Trustees of the University of IllinoisGroup PAC ID 3072422716, 1,134 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

Merit-based Incentive Payment System (MIPS)

Final score

93.28 of 100Reported as group

Quality

73.53

Promoting interoperability

100

Improvement activities

40

Cost

70.73

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: talha.awwal.p1@direct.kymeramedical.nextgenshare.com
• Direct secure messaging: talha.awwal@kymeramedical.direct.emds.com

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.

• The Board of Trustees of the University of Illinois

  • Anatomic Pathology Physician
  • Chicago, IL
  • NPI 1386863819
  Medicare reassignment Care Compare group NPD
• Masoud Khorsand- Sahbaie MD P a

  • Hematology & Oncology Physician
  • Roswell, NM
  • NPI 1932187044
  Medicare reassignment NPD
• Masoud Khorsand-Sahbaie, MD PA

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1194169011

  Internal Medicine

  NPD
• Board of Trustees of the University of Illinois

  • Pediatrics Physician
  • Peoria, IL
  • NPI 1467425322

  Internal Medicine

  NPD
• The Board of Trustees of the University of Illinois

  • Occupational Medicine Physician
  • Chicago, IL
  • NPI 1043727571
  NPD

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1386123701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1574",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882021574",
            "telephone_number": "575-627-9500",
            "fax_number": "575-627-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S CANAL ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205713",
            "telephone_number": "575-234-1466",
            "fax_number": "575-628-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3028 N Grimes St",
            "address_purpose": "LOCATION",
            "city": "Hobbs",
            "state": "NM",
            "postal_code": "882401809",
            "country_code": "US",
            "telephone_number": "575-392-0222",
            "fax_number": "575-392-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Military Heights Pl",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882016407",
            "country_code": "US",
            "telephone_number": "575-627-9500",
            "fax_number": "575-627-9535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWWAL",
        "first_name": "TALHA",
        "middle_name": "ABDUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2021-0612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artesia General Hospital
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• Rebecca Austin
• Avalon Ranch
• Katherine Baca, PT, DPT
• Marshall G Baca, M.D.
• Maria Badgett
• Shavon Balderrama
• Jolie Koleen Baldwin, LMHC

• Internal Medicine Physician in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.