IFTEKHAR A. AWAN (MD) – Emergency Medicine Physician, NPI 1114912268
Emergency Medicine Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for IFTEKHAR A. AWAN (MD)
640 W WASHINGTON ST
PITTSFIELD, IL 623631350
Phone: (217) 285-2113
Type: Mailing
200 E FAIRMAN AVE
WATSEKA, IL 609701644
Phone: (815) 432-5841
Type: Location
306 Cobblestone Ct
Martinez, GA 309072635
Phone: (706) 364-0259
Type: Location
640 W Washington St
Pittsfield, IL 623631350
Phone: (217) 285-2113
Type: Location
306 COBBLESTONE CT
MARTINEZ, GA 309072635
Phone: (706) 364-0259
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: 2015-12-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040525001734 | I | Emergency Medicine | IA | TBD |
| I20151217002342 | I | Emergency Medicine | IL | TBD |
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.
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 62363)
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