Individual provider Active NPI

Mohammed I Awaad, MD

  • Cardiovascular Disease Physician
  • Gulfport, MS
National Provider Identifier
1720039043
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
18345 Issued in MS
Practice address
1104 Broad Ave
Gulfport, MS 39501-2414
Phone
(228) 388-6500
NPI assigned
May 12, 2006
Last updated
Sep 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08077043MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA, CA, KY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040415000421 MS Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Pain Management 4688669187 Reassigns benefits to 4 organizations
I20121018000478 LA Practitioner - Cardiovascular Disease (Cardiology) 4688669187 Reassigns benefits to 1 organization
I20250828001269 CA Practitioner - Cardiovascular Disease (Cardiology) 4688669187 Reassigns benefits to 1 organization
I20260226001635 KY Practitioner - Cardiovascular Disease (Cardiology) 4688669187 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
TP853KYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Baptist Health Deaconess Medical Group Inc Cardiovascular Disease CurrentSince Feb 6, 2026 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Feb 3, 2022 Accepting new patients
Center for Cardiovascular Care a Medical Corporation CurrentSince Sep 1, 2025 Accepting new patients
Wesley Physician Services LLC Cardiovascular Disease CurrentSince Mar 1, 2019 Accepting new patients
Medical Foundation of Central Mississippi, Inc CurrentSince Jan 28, 2014 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Feb 3, 2022 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Feb 6, 2026 Accepting new patients
Cardiology Associates of Southeastern Ohio Inc. PastSince May 1, 2000 Accepting new patients
Professional Transport, Inc PastSince Sep 1, 2025 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

  • FHIR API: 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.

View all 14

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.