Basil Awawdeh, D.P.M

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901400374 Issued in MI

Practice address

1628 Ford Ave
Wyandotte, MI 48192-2304

Phone

(734) 284-1333

NPI assigned

Apr 6, 2017

Last updated

Jun 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot and Ankle Associates Clinic PLLCGroup PAC ID 0749663797, 7 clinicians

Foot and Ankle Associates in Patient PLLCGroup PAC ID 2668855727, 7 clinicians

Foot and Ankle Associates NH Care PLLCGroup PAC ID 5496138943, 4 clinicians

Foot and Ankle Associates Home Visits PLLCGroup PAC ID 6002290574, 2 clinicians

Khalil and Usen DPM PCGroup PAC ID 8820009996, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bawawdeh@ffaas-mi.direct.office.nextgen.com
• Direct secure messaging: bawawdeh688516@direct.hfhs.org

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.

• Foot and Ankle Associates Clinic PLLC

  • Foot & Ankle Surgery Podiatrist
  • Wyandotte, MI
  • NPI 1922732775
  Medicare reassignment Care Compare group Authorized official
• Foot and Ankle Associates in Patient PLLC

  • Foot & Ankle Surgery Podiatrist
  • Wyandotte, MI
  • NPI 1437883295
  Medicare reassignment Care Compare group Authorized official
• Foot and Ankle Associates NH Care PLLC

  • Foot & Ankle Surgery Podiatrist
  • Wyandotte, MI
  • NPI 1063146827
  Medicare reassignment Care Compare group Authorized official
• Basil Awawdeh Podiatry, P.C

  • Foot & Ankle Surgery Podiatrist
  • Ann Arbor, MI
  • NPI 1952146375
  Medicare reassignment NPD Authorized official
• Khalil & Usen DPM, PC

  dba Family Foot and Ankle Specialist

  • Foot & Ankle Surgery Podiatrist
  • Wyandotte, MI
  • NPI 1851347348
  Medicare reassignment Care Compare group NPD
• Door Step Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Ann Arbor, MI
  • NPI 1790624815
  Medicare reassignment Authorized official
• Foot and Ankle Associates Home Visits PLLC

  • Foot & Ankle Surgery Podiatrist
  • Wyandotte, MI
  • NPI 1659005411
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1619400694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "718-780-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922304",
            "telephone_number": "734-284-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112153609",
            "country_code": "US",
            "telephone_number": "718-780-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWAWDEH",
        "first_name": "BASIL",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suleiman Assaf, D.O.
• Mazen Wael Assal
• Humphrey Odei Atiemo, MD
• Ghazwan Atto, M.D.
• Jack Avedikian, MD
• Mohammad Hussein Ayoub, MD
• Joseph Azar, MD
• Ahmad Babaa, D.O.
• Mariann Babi, MD
• Ahmad Baghdadi, MD

• Foot & Ankle Surgery Podiatrist in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.