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GEORGE ANTONIOUS FAWZY M.D.
NPI 1124763099
Student in an Organized Health Care Education/Training Program in Charleston, WV

Active since May 04, 2022PECOS Enrolled
ROBERT C. BYRD CLINICAL TEACHING CENTER 5TH FLOOR, CAMC, CHARLESTON, WV 25304(304) 388-4600(304) 388-4621 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2022, May 4, 2022 (2 updates tracked since 2022).

About George Antonious Fawzy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE ANTONIOUS FAWZY M.D. (NPI 1124763099) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124763099
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGEORGE ANTONIOUS FAWZYCredential: M.D.
Location AddressROBERT C. BYRD CLINICAL TEACHING CENTER 5TH FLOOR, CAMCCharleston, WV 25304
Mailing AddressRobert C. Byrd Clinical Teaching Center 5th Floor, CamcCharleston, WV 25304 · (304) 388-4600 · Fax (304) 388-4621
Phone(304) 388-4600
Fax(304) 388-4621
Sole ProprietorNo
Enumeration DateMay 4, 2022
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1124763099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
ROBERT C. BYRD CLINICAL TEACHING CENTER 5TH FLOOR, CAMC, Charleston, WV 25304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

George Antonious Fawzy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George Fawzy's NPI number?

The NPI number for George Fawzy is 1124763099. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is George Fawzy located?

George Fawzy practices at Robert C. Byrd Clinical Teaching Center 5th Floor, Camc, Charleston, WV 25304. The listed phone number is (304) 388-4600.

What is George Fawzy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is George Fawzy enrolled in Medicare?

Yes. George Fawzy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for George Fawzy was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.