Malak Angel Awad, D.O.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

02005880A Issued in IN

Practice address

921 Fran Lin Pkwy
Munster, IN 46321-3540

Phone

(219) 836-1310

NPI assigned

Apr 13, 2016

Last updated

Aug 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

RheumatologyAlso: Internal Medicine

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment Care Compare group NPD
• Central PA Pharmacy LLC.

  dba patton pharmacy and v&s variety

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Osf Healthcare System

  dba OSF Little Company of Mary Medical Center

  • General Acute Care Hospital
  • Evergreen Park, IL
  • NPI 1215572045
  Care Compare affiliation

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1730533985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 FRAN LIN PKWY",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213540",
            "telephone_number": "219-836-1310",
            "fax_number": "219-836-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 FRAN LIN PKWY",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213540",
            "telephone_number": "219-836-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1354 S Lake Park Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "463425964",
            "country_code": "US",
            "telephone_number": "219-836-1310",
            "fax_number": "219-836-0617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9130 Columbia Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212932",
            "country_code": "US",
            "telephone_number": "219-836-1310",
            "fax_number": "219-836-0617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWAD",
        "first_name": "MALAK",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "02005880A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300052450",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001558593",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Athletic and Thearpeutic Institute of Naperville, LLC
• Athletic and Therapeutic Institute of Naperville, LLC (ATI Physical Therapy)
• Athletico LTD (Athletico Physical Therapy)
• Carley Lauren Austgen, PA-C
• Olaide Avoseh
• Axon Modern Health LLC
• Charmaine Azeez, P.T.
• Azra S Sheriff MD PC
• Thomas Bacevich, M.D.
• Adebayo Bademosi, M.D.

• Rheumatology Physician in Munster, IN
• Providers in Munster, IN by specialty
• Rheumatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.