Individual provider Active NPI

Hasan Abdulrehman Awan, M.D

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1629279120
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0065861 Issued in MD
Practice address
2717 Hammonds Ferry Rd
Baltimore, MD 21227-3138
Phone
(410) 242-5350
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0065861 MD Primary

Addresses

Primary practice location

2717 Hammonds Ferry Rd
Baltimore, MD 21227-3138

Mailing address

13305 Falls Rd
Cockeysville, MD 21030-1421
Phone (410) 952-9581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20070816000352 MD Practitioner - Internal Medicine 0749372068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Malik a Rehman MD PAGroup PAC ID 5092745786, 2 clinicians

Practice addresses (Care Compare)

2717 Hammonds Ferry Rd
Baltimore, MD 21227-3100
Phone (410) 242-5350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0065861MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Malik a Rehman MD PA CurrentSince Jul 1, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2717 Hammonds Ferry Rd
Halethorpe, MD 21227
Phone (410) 242-5012

2717 Hammonds Ferry Rd
Ste 1
Halethorpe, MD 21227

Interoperability endpoints

  • Direct secure messaging: hassan.awan.1@20954.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629279120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13305 FALLS RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210301421",
            "telephone_number": "410-952-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 HAMMONDS FERRY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273138",
            "telephone_number": "410-242-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAN",
        "first_name": "HASAN",
        "middle_name": "ABDULREHMAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0065861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.