Reda Awad, M.D.
Individual provider Active NPI Pediatrics Physician · Hudson, FL
NPI 1568768166 · NPPES record last updated Aug 25, 2022
Key facts
- NPI
- 1568768166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME110635 (FL)
- Practice address
- 12136 Cobble Stone Dr
Hudson, FL 34667-2432 - Phone
- (727) 863-5474
- NPI assigned
- Jan 31, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150126000624 | FL | Practitioner - Pediatric Medicine | 4385968288 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G. M. Ramappa, M.D., F.a.a.P., P.a. | Pediatrics | Current | Accepting new patients |
| Premier Community Healthcare Group, Inc. | Current |
Accepting new patients | |
| Premier Community Healthcare Group Inc | Current |
Accepting new patients |
Locations
14027 5th St
Dade City, FL 33525
Phone (813) 782-6064
12136 Cobble Stone Dr
Hudson, FL 34667
Phone (727) 863-5474
7136 State Road 54
New Port Richey, FL 34653
Phone (727) 261-6464
4063 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 686-1914
3502 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 666-1913
2114 Seven Springs Blvd
Trinity, FL 34655
Phone (727) 375-2719
Interoperability endpoints
- drawad@kidzcarepediatrics.opdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME110635 | FL | Yes |
Addresses
Primary practice location
12136 Cobble Stone Dr
Hudson, FL 34667-2432
Mailing address
4028 Ligustrum Dr
Palm Harbor, FL 34685-3631
Phone (718) 213-5453
Other practice location 1
7136 State Road 54
New Port Richey, FL 34653-6103
Phone (727) 261-6464
Other practice location 2
4063 Mariner Blvd
Spring Hill, FL 34609-2467
Phone (352) 686-1914
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME110635 | Other | FL | LICENSE |
| 010501900 | Medicaid | FL |
Other providers in Hudson, FL
- Ayesha Aman Asif
- Atria Senior Living Group, Inc
- William Bradlee Aubuchon
- Yakelin Avila Perez
- Avs Pharma LLC
- Awesome Home Care, Inc.
- Awesome Home Care, Inc.
- Savannah Ariel Aykol
- Ayub Sokol Matzkowitz Sennabaum MDS PA
- Jorge Ayub
All providers in Hudson, FL · Pediatrics Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.