MOHAMMED AL AZZAWI (MD) – Pulmonary Disease Physician, NPI 1790246817

MOHAMMED AL AZZAWI (MD) is a healthcare provider. based in Winter park, Florida. specializing in HOSPITALIST, INTERNAL MEDICINE, PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 35.144590 (OH). The NPI Number for MOHAMMED AL AZZAWI (MD) is 1790246817

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMMED AL AZZAWI (MD)
NPI
1790246817
Phone
(407) 539-2766
Address
1110 N KENTUCKY AVE
Enumeration Date
29 March 2019
Last Update Date
21 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4193833578
Graduation Year
2014 (12 years ago)
PAC ID
9931548195
Group Practice PAC ID
8729983416
Professional Enrollment ID
I20240419002995
Address ID
OH436142595TO3000XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:7State licenses:2Digital endpointsOther names

1,565 HOSPITALIST in OH

Provider Addresses for MOHAMMED AL AZZAWI (MD)

  • 1110 N KENTUCKY AVE

    WINTER PARK, FL 327894741

    Phone: (407) 539-2766

    Type: Mailing

  • 3000 Arlington Ave

    Toledo, OH 436142595

    Phone: (419) 383-4000

    Type: Location

  • 33, Neptune Avenue, Springville, Suffolk County, New York, 11946, United States

    NEPTUNE, NJ 077534859

    Phone: (732) 776-4483

    Fax: (732) 776-4798

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $396.

Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($129).

Total Amount

$396

General + Research + Ownership

Payments

14

Total payment records

General Amount

$396

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2025-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240419002995IHospitalistOHTBD
I20250725000112IPulmonary DiseaseFLTBD

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 32789)

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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: 8729983416View full group profile
NameSpecialtyState
-OH
P A T H O L O G YOH
General Surgery, Critical Care (Intensivists)MI
-OH
Nurse PractitionerOH
-OH
-OH
General SurgeryME
Vascular Surgery, General SurgeryMN
-OH

Reviews

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Frequently asked questions

Where can patients find MOHAMMED AL AZZAWI (MD)'s NPI?
You can confirm MOHAMMED AL AZZAWI (MD) with NPI 1790246817; it appears in the national provider directory.
Is MOHAMMED AL AZZAWI (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MOHAMMED AL AZZAWI (MD) work in?
You can think of MOHAMMED AL AZZAWI (MD) as practicing within Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MOHAMMED AL AZZAWI (MD)?
The snapshot lists Winter Park, Florida for MOHAMMED AL AZZAWI (MD); download NPPES for the complete set.
Is MOHAMMED AL AZZAWI (MD) a real provider?
This page reflects official NPPES data for NPI 1790246817. Always confirm identity and privileges with the practice and licensing boards.

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