DR. WALEED OMAR AWAN (MD) – Internal Medicine Physician, NPI 1861132375

DR. WALEED OMAR AWAN (MD) is a healthcare provider. based in Thousand oaks, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A203498 (CA). The NPI Number for DR. WALEED OMAR AWAN (MD) is 1861132375

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. WALEED OMAR AWAN (MD)
NPI
1861132375
Phone
(805) 497-2727
Address
215 W Janss Rd
Enumeration Date
31 March 2022
Last Update Date
29 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9495216060
Graduation Year
2022 (4 years ago)
PAC ID
3971965963
Group Practice PAC ID
9537196076
Professional Enrollment ID
I20250808001943
Address ID
CA926563044AL11XXXMARE241
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

21,508 INTERNAL MEDICINE in CA

Provider Addresses for DR. WALEED OMAR AWAN (MD)

  • 215 W Janss Rd

    Thousand Oaks, CA 913601847

    Phone: (805) 497-2727

    Type: Location

  • 215 W JANSS RD

    THOUSAND OAKS, CA 913601847

    Phone: (805) 497-2727

    Type: Location

  • 11 MAREBLU STE 200

    ALISO VIEJO, CA 926563044

    Phone: (949) 521-6060

    Fax: (949) 521-6063

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $207.

Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Amgen Inc. ($89).

Total Amount

$207

General + Research + Ownership

Payments

8

Total payment records

General Amount

$207

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250808001943IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537196076View full group profile
NameSpecialtyState
Physician AssistantMD
Internal Medicine, Hematology/OncologyCA
Pulmonary DiseaseCA
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineCA
Emergency MedicineCA
Physician AssistantCA

Reviews

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Frequently asked questions

What federal number belongs to DR. WALEED OMAR AWAN (MD)?
The federal identifier for DR. WALEED OMAR AWAN (MD) is NPI 1861132375.
Is DR. WALEED OMAR AWAN (MD) currently active in the NPI registry?
CMS-published data lists DR. WALEED OMAR AWAN (MD) as an active registrant.
What kind of provider is DR. WALEED OMAR AWAN (MD)?
The page reflects Internal Medicine Physician for DR. WALEED OMAR AWAN (MD). Clinical services aligned with this taxonomy classification.
Where is DR. WALEED OMAR AWAN (MD)'s primary listing?
We display Thousand Oaks, California because that is what the record indicates for DR. WALEED OMAR AWAN (MD).
How can I contact DR. WALEED OMAR AWAN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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