Individual provider Active NPI

Ihab Rafik Awad, M.D.

  • Urology Physician
  • Middle Village, NY
National Provider Identifier
1649254178
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
197579 Issued in NY
Practice address
7844 Metropolitan Ave
Middle Village, NY 11379-2966
Phone
(516) 830-5444
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 197579 NY Primary

Addresses

Primary practice location

7844 Metropolitan Ave
Middle Village, NY 11379-2966

Mailing address

1655 Warwick Rd
Hewlett, NY 11557-1832

Other identifiers 1

IdentifierTypeStateIssuer
02162458MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20040503000296 NY Practitioner - Urology 5597753335 Reassigns benefits to 4 organizations
I20200204001782 PA Practitioner - Urology 5597753335 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Family Medicine CurrentSince Dec 23, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Apr 30, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Apr 30, 2023 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 1, 2012 Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine Current Accepting new patients
Icahn School of Medicine at Mount Sinai Urology CurrentSince Dec 22, 2024 Accepting new patients
St Josephs Hospital Yonkers CurrentSince Oct 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Dec 22, 2024 Accepting new patients
St. Joseph'S Hospital Yonkers Current Accepting new patients
St. Joseph'S Hospital & Medical Center CurrentSince Oct 1, 2012 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Dec 23, 2019 Accepting new patients
Queens Long Island Medical Group, P.C. Family Medicine Past Accepting new patients
Frances Slater, LCSW, PC PastSince Mar 8, 2018 Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1111 Franklin St
Ste 410
Johnstown, PA 15905
Phone (814) 536-7851

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: iawad4765627@nychhc.direct-ci.com

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1649254178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 WARWICK RD",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7844 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792966",
            "telephone_number": "516-830-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAD",
        "first_name": "IHAB",
        "middle_name": "RAFIK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "197579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02162458",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

Verify at the official NPI Registry.