Individual provider Active NPI

Huyam Awadalla Hassan Awadalla, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Detroit, MI
National Provider Identifier
1801450077
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301511689 Issued in MI
Practice address
400 Mack Ave
Detroit, MI 48201-2136
Phone
(313) 448-9650
NPI assigned
Apr 23, 2019
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301511689 MI Primary

Addresses

Primary practice location

400 Mack Ave
Detroit, MI 48201-2136

Mailing address

4201 St. Antoine, Uhc 9C -DMC-Gme Office
Detroit, MI 48201
Phone (313) 966-0463

Other practice location 1

4201 Saint Antoine St Ofc
Detroit, MI 48201-2153
Phone (313) 966-0463 ext. 31396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IA2 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
I20241109000026 MI Practitioner - Internal MedicinePractitioner - Endocrinology 4183958069 Reassigns benefits to 2 organizations
I20251006003240 IA Practitioner - Endocrinology 4183958069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians
Guthrie County HospitalGroup PAC ID 6204745110, 16 clinicians

Practice addresses (Care Compare)

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3000

45644 Bartlett Dr
Canton, MI 48187-1512
Phone (319) 298-2200

710 N 12TH St
Guthrie Center, IA 50115-1549
Phone (641) 332-2201

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Guthrie County Hospital CurrentSince Aug 1, 2025 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jan 13, 2025 Accepting new patients
University Physician Group CurrentSince Nov 1, 2024 Accepting new patients
Guthrie County Hospital CurrentSince Aug 1, 2025 Accepting new patients

Locations

1002 4th Ave SE
Ste B
Cedar Rapids, IA 52403
Phone (319) 298-2200

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

1 William Carls Dr
Ste 210
Commerce Twp, MI 48382
Phone (248) 387-2733

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

400 Mack Ave
Ste 2E
Detroit, MI 48201

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

4201 Saint Antoine St
Ofc
Detroit, MI 48201
Phone 3139660463 ext. 31396

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Interoperability endpoints

  • Direct secure messaging: hawadalla1114547@direct.unitypoint.org
  • Direct secure messaging: huyam.awadalla.1@19711.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1801450077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 ST. ANTOINE, UHC 9C -DMC-GME OFFICE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-966-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012136",
            "telephone_number": "313-448-9650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Saint Antoine St Ofc",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "313-966-0463 x31396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWADALLA",
        "first_name": "HUYAM",
        "middle_name": "AWADALLA HASSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301511689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.