DR. IMAD AWAN MD, MMSC
NPI 1356920631
Student in an Organized Health Care Education/Training Program in Loma Linda, CA
About Dr. Imad Awan Md, Mmsc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. IMAD AWAN MD, MMSC (NPI 1356920631) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Imad Awan Md, Mmsc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Imad Awan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Terrace, CA 92313
- Reassigned Medicare billing, Texas enrollment
- 101 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Imad Awan's NPI number?
The NPI number for Imad Awan is 1356920631. It was assigned to this individual provider in the NPPES registry on April 5, 2021.
Where is Imad Awan located?
Imad Awan practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4074.
What is Imad Awan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Imad Awan enrolled in Medicare?
Yes. Imad Awan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Imad Awan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Imad Awan reassigns Medicare benefits to Riverside-San Bernardino County Indian Health, Inc. (Grand Terrace, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Imad Awan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Imad Awan was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Imad Awan, MD, MMSC · NPI 1356920631
Student in an Organized Health Care Education/Training Program provider in Loma Linda, California. Individual provider, active in the CMS NPPES registry since April 5, 2021.
## Identity
- **NPI:** 1356920631 (Entity type: Individual)
- **Enumerated:** April 5, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-4074
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Riverside-San Bernardino County Indian Health, Inc. (NPI 1174676670, Grand Terrace, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1356920631) · Data from the CMS NPPES public registry.