Active NPI
Khaled Awad, MD
- Internal Medicine Physician
- Cumberland, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25IA12289500
- Practice address
- 12500 Willowbrook Rd
Cumberland, MD 21502-6393 - Phone
- (814) 534-9104
- Fax
- (814) 534-3559
- NPI assigned
- Jun 7, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D008871 | MD | |
| Internal Medicine Physician | 207R00000X | 25IA12289500 | NJ | Primary |
Addresses
Primary practice location
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Mailing address
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-8341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Rehill Ave
Somerville, NJ 08876-2519
Phone (908) 685-2200
Hospital & facility affiliations
- Grace Healthcare Services LLC
- Robert Wood Johnson University Hospital - Somerset
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D008871 | MD | MD | Internal Medicine Physician |
| 25IA12289500 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Integrated Acute Care Services of Maryland, LLC | Internal Medicine | Current | Accepting new patients |
| Rwjbh Emergency Medicine Associates, LLC | Internal Medicine | Current | Accepting new patients |
| Upmc Western Maryland Corporation | Past | Accepting new patients | |
| Robert Wood Johnson University Hospital Inc | Past | Accepting new patients |
Locations
2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/xYxhuXIFsLg59PaSNJv_x-piAtPKX3W8/
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
Internal Medicine, NJ
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1922598929
Internal Medicine, MD
-
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
- General Acute Care Hospital
- Somerville, NJ
- NPI 1003236878
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Somerville, NJ
- NPI 1003236878
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1902335565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12500 WILLOWBROOK RD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215026393",
"telephone_number": "240-964-8341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 WILLOWBROOK RD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215026393",
"telephone_number": "814-534-9104",
"fax_number": "814-534-3559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWAD",
"first_name": "KHALED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-07",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D008871",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25IA12289500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.