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RAZIA S AWAN MD
NPI 1366428567
Internal Medicine in Newark, NJ

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
156 LYONS AVE, NEWARK, NJ 07112(973) 926-5853(973) 926-6599 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Razia S Awan Md NPPES

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

RAZIA S AWAN MD (NPI 1366428567) is an individual internal medicine provider in Newark, New Jersey, licensed in New Jersey (MA57029) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Saint Michael's Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1366428567
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRAZIA S AWANCredential: MD
Location Address156 LYONS AVENewark, NJ 07112-2016
Mailing Address19 Deborah DrEdison, NJ 08820-2239 · (732) 742-0727 · Fax (973) 923-6599
Phone(973) 926-5853
Fax(973) 926-6599
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 20, 2005
Last NPPES UpdateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
✔ NPI 1366428567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA57029
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
156 LYONS AVE, Newark, NJ 07112
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Other Names 1

Former Name (1)Dr. Razia S Zubair M.d

Other Identifiers 1

Medicaid5018609NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Razia S Awan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426093360
PECOS Enrollment IDI20050622000384
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Razia Awan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rwjbh Primary Care Services
6.0 mi
Internal Medicine
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 428 clinicians in this Medicare group
NPI 1265037501 (973) 322-5000
Hospitalist Physicians Of New Jersey PA
13 mi
Hospitalist
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 351 clinicians in this Medicare group
NPI 1588021851 (732) 321-7000
Ritu Suri MD, LLC
19 mi
Geriatric Medicine
151 MACKAY DR
Tenafly, NJ 07670
  • Reassigned Medicare billing, New Jersey enrollment
  • 24 clinicians in this Medicare group
NPI 1972656353 (201) 568-2387
Azz Medical Associates PC
44 mi
Internal Medicine
1440 PENNINGTON RD STE 1
Ewing, NJ 08618
  • Reassigned Medicare billing, New Jersey enrollment
  • 80 clinicians in this Medicare group
NPI 1699704809 (609) 890-1050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
61 services45 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310096
Location111 Central AvenueNewark, NJ 07102 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANTAGE CARE GERIATRICS, LLC
Specialist
156 LYONS AVE, GROUND FLOOR
NEWARK, NJ 07112
Essex County (732) 707-3027
ADVANTAGE GERIATRICS CARE,LLC
Specialist
156 LYONS AVE, GROUND FLOOR
NEWARK, NJ 07112
Essex County (732) 707-3027
ANNAMARIE MATOS NP-C
Nurse Practitioner (Adult Health)
156 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-8491

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 Razia Awan's NPI number?

The NPI number for Razia Awan is 1366428567. It was assigned to this individual provider in the NPPES registry on December 20, 2005. The provider is also known as Dr. Razia S Zubair M.D.

Where is Razia Awan located?

Razia Awan practices at 156 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-5853.

What is Razia Awan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Razia Awan enrolled in Medicare?

Yes. Razia Awan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Razia Awan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Razia Awan reassigns Medicare benefits to 4 organizations: Rwjbh Primary Care Services (West Orange, NJ), Hospitalist Physicians Of New Jersey PA (Edison, NJ), Ritu Suri MD, LLC (Tenafly, NJ) and Azz Medical Associates PC (Ewing, NJ). Each 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 Razia Awan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Razia Awan accept?

Health plans from Oscar Health list Razia Awan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Razia Awan affiliated with any hospitals?

According to CMS data, Razia Awan is affiliated with Saint Michael's Medical Center.

When was this NPI record last updated?

The NPPES record for Razia Awan was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.