ANDREW AWABDEH (DO) – Emergency Medicine Physician, NPI 1528640612

ANDREW AWABDEH (DO) is a healthcare provider. based in Mount clemens, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5101028070 (MI). The NPI Number for ANDREW AWABDEH (DO) is 1528640612

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW AWABDEH (DO)
NPI
1528640612
Phone
(586) 790-9003
Address
1000 HARRINGTON ST
Enumeration Date
27 April 2021
Last Update Date
14 August 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5864938000
Graduation Year
2021 (5 years ago)
PAC ID
2466854443
Group Practice PAC ID
4284931130
Professional Enrollment ID
I20240827003359
Address ID
MI480432920MO1000XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for ANDREW AWABDEH (DO)

  • 1000 HARRINGTON ST

    MOUNT CLEMENS, MI 480432920

    Phone: (586) 790-9003

    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 7 Open Payments records for all available years, with a total value of $338.

Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($249).

Total Amount

$338

General + Research + Ownership

Payments

7

Total payment records

General Amount

$338

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

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: 2024-08-27

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
I20240827003359IEmergency MedicineMITBD

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 48043)

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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: 4284931130View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
-IL
Emergency MedicineMI
-MI
Emergency MedicineMI
-MI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI

Reviews

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Frequently asked questions

Can I verify ANDREW AWABDEH (DO) with an NPI only?
You can start verification with NPI 1528640612 for ANDREW AWABDEH (DO), then check state licensing separately.
Does the file indicate ANDREW AWABDEH (DO) is practicing under active NPI?
Directory data currently reports ANDREW AWABDEH (DO) as active.
What is ANDREW AWABDEH (DO)'s specialty?
The listing groups ANDREW AWABDEH (DO) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does ANDREW AWABDEH (DO) serve?
ANDREW AWABDEH (DO)'s listing highlights Mount Clemens, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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