DR. IMMAD MUNAWAR (MBBS) – Student in an Organized Health Care Education/Training Program, NPI 1639664253

DR. IMMAD MUNAWAR (MBBS) is a healthcare provider. based in Syracuse, New York. specializing in CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE. They hold the professional credentials MBBS. The NPI Number for DR. IMMAD MUNAWAR (MBBS) is 1639664253

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. IMMAD MUNAWAR (MBBS)
NPI
1639664253
Phone
(315) 464-3835
Address
750 E ADAMS ST
Enumeration Date
26 June 2018
Last Update Date
20 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4022744366
Graduation Year
2017 (9 years ago)
PAC ID
1557802386
Group Practice PAC ID
6204746480
Professional Enrollment ID
I20240920000960
Address ID
NE683051701AU2022XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:7State licenses:0Digital endpointsOther names

1,811 CRITICAL CARE (INTENSIVISTS) in NY

Provider Addresses for DR. IMMAD MUNAWAR (MBBS)

  • 750 E ADAMS ST

    SYRACUSE, NY 132101834

    Phone: (315) 464-3835

    Fax: (315) 464-3882

    Type: Mailing

  • Sinai Hospital of Baltimore, 2401, West Belvedere Avenue, Levindale, Baltimore, Maryland, 21215, United States

    BALTIMORE, MD 212155270

    Phone: (410) 601-7639

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-09-20

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
I20240920000960IPulmonary DiseaseNETBD

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 13210)

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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: 6204746480View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YNE
Pulmonary DiseaseIL
U R O L O G YNE
Nurse PractitionerNE
O T O L A R Y N G O L O G YNE

Reviews

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Frequently asked questions

How do I look up DR. IMMAD MUNAWAR (MBBS) by NPI?
Use NPI 1639664253 when you need to reference DR. IMMAD MUNAWAR (MBBS) in forms, claims, or directories.
Is DR. IMMAD MUNAWAR (MBBS)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. IMMAD MUNAWAR (MBBS)?
The page reflects Student in an Organized Health Care Education/Training Program for DR. IMMAD MUNAWAR (MBBS). Clinical services aligned with this taxonomy classification.
Where is DR. IMMAD MUNAWAR (MBBS)'s primary listing?
We display Syracuse, New York because that is what the record indicates for DR. IMMAD MUNAWAR (MBBS).
How can I contact DR. IMMAD MUNAWAR (MBBS)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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