JAMAL FAWAZ (MD) – Psychiatry Physician, NPI 1003881335

JAMAL FAWAZ (MD) is a healthcare provider. based in Hagerstown, Maryland. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 47955 (MD). The NPI Number for JAMAL FAWAZ (MD) is 1003881335

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
JAMAL FAWAZ (MD)
NPI
1003881335
Phone
(301) 733-0331
Address
13121 BROOK LANE
Enumeration Date
21 February 2006
Last Update Date
15 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3017330330
Graduation Year
1988 (38 years ago)
PAC ID
4981899614
Group Practice PAC ID
5991055022
Professional Enrollment ID
I20101108001219
Address ID
MD217421514HA13215LANE300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

840 PSYCHIATRY in MD

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Provider Addresses for JAMAL FAWAZ (MD)

  • Brook Lane, 13121, Brook Lane, Bowmans Mill, Hagerstown, Washington County, Maryland, 21742, United States

    HAGERSTOWN, MD 217421435

    Phone: (301) 733-0331

    Fax: (301) 733-4038

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 139 Open Payments records for all available years, with a total value of $98,782.

Total Amount is formed as General ($98,782) + Research ($0) + Ownership ($0) = $98,782.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: ABBVIE INC. ($98,371).

Total Amount

$98,782

General + Research + Ownership

Payments

139

Total payment records

General Amount

$98,782

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-11-08

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
I20101108001219IPsychiatryMDTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes736165$0
99214Established patient office or other outpatient visit, 30-39 minutes14051$0
90792Psychiatric diagnostic evaluation with medical services2323$0
View full utilization report →

Insurance plans in this area (ZIP 21742)

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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: 5991055022View full group profile
NameSpecialtyState
-MD
Mental Health CounselorMD
-NY
Mental Health CounselorMD
Clinical Social WorkerMD
Clinical Social WorkerMD
Mental Health CounselorMD
Nurse PractitionerCO
Clinical Social WorkerMD
Mental Health CounselorMD

Reviews

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Frequently asked questions

Where can patients find JAMAL FAWAZ (MD)'s NPI?
You can confirm JAMAL FAWAZ (MD) with NPI 1003881335; it appears in the national provider directory.
Is JAMAL FAWAZ (MD)'s NPI currently valid?
The extract we use shows JAMAL FAWAZ (MD) as active.
Does JAMAL FAWAZ (MD) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for JAMAL FAWAZ (MD). Clinical services aligned with this taxonomy classification.
Where is JAMAL FAWAZ (MD)'s primary listing?
We display Hagerstown, Maryland because that is what the record indicates for JAMAL FAWAZ (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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