Active NPI
Mohammed I Awaad, MD
- Cardiovascular Disease Physician
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 18345
- Practice address
- 1104 Broad Ave
Gulfport, MS 39501-2414 - Phone
- (228) 388-6500
- NPI assigned
- May 12, 2006
- Last updated
- Sep 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 18345 | MS | Primary |
Addresses
Primary practice location
1104 Broad Ave
Gulfport, MS 39501-2414
Mailing address
PO Box 399
Long Beach, MS 39560-0399
Phone (228) 343-4057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08077043 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA, CA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Hospital Dr
Madisonville, KY 42431-1658
Phone (270) 326-3800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP853 | KY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Cardiovascular Disease | Current | Accepting new patients |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Center for Cardiovascular Care a Medical Corporation | Current | Accepting new patients | |
| Wesley Physician Services LLC | Cardiovascular Disease | Current | Accepting new patients |
| Medical Foundation of Central Mississippi, Inc | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients | |
| Cardiology Associates of Southeastern Ohio Inc. | Past | Accepting new patients | |
| Professional Transport, Inc | Past | Accepting new patients | |
| Coast Heart Institute, PLLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
178 2nd St
Ste D
Gilroy, CA 95020
Phone (408) 842-5190
200 Jose Figueres Ave
San Jose, CA 95116
Phone (408) 259-3232
200 Jose Figueres Ave
Ste 325
San Jose, CA 95116
Phone (408) 293-9440
800 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3800
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
1104 Broad Ave
Gulfport, MS 39501
Phone (228) 343-4057
1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856
4215 15th St
Gulfport, MS 39501
Phone (228) 863-5211
4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872
4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451
4500 13th St
Fl 2
Gulfport, MS 39501
Phone (228) 867-3152
5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000
Interoperability endpoints
- https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Madisonville, KY
- NPI 1437730942
Cardiovascular Disease
-
- Family Medicine Physician
- Hattiesburg, MS
- NPI 1538200209
Cardiovascular Disease
-
- Interventional Cardiology Physician
- San Jose, CA
- NPI 1518977958
-
dba Baptist Medical Clinics
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
-
- Urology Physician
- Gulfport, MS
- NPI 1093142598
-
dba Baptist Cardiovascular Surgery
- Vascular Surgery Physician
- Jackson, MS
- NPI 1952557092
-
dba Memorial Surgery Center Cedar Lake
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
-
dba Memorial Surgery Center Ocean Springs
- General Acute Care Hospital
- Ocean Springs, MS
- NPI 1447869854
-
dba Memorial Emergency Physicians
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1962780379
-
dba Baptist Health Deaconess Madisonville Hospital Based Providers
- Hospitalist Physician
- Madisonville, KY
- NPI 1972320430
-
- Cardiovascular Disease Physician
- Gulfport, MS
- NPI 1992718795
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Deaconess Madisonville
- Rural Acute Care Hospital
- Madisonville, KY
- NPI 1447231956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1720039043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 399",
"city": "LONG BEACH",
"state": "MS",
"postal_code": "395600399",
"telephone_number": "228-343-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 BROAD AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012414",
"telephone_number": "228-388-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWAAD",
"first_name": "MOHAMMED",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MS",
"license": "18345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08077043",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.