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MR. OMAR Q AWAN M.D.
NPI 1376819243
Internal Medicine in Woodbridge, NJ

Active since March 26, 2012PECOS EnrolledAccepts Medicare Assignment
32.51/100
CMS Quality Rating
42 HIGHVIEW DR, WOODBRIDGE, NJ 07095(732) 397-6000 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Omar Q Awan M.d. NPPES

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

MR. OMAR Q AWAN M.D. (NPI 1376819243) is an individual internal medicine provider in Woodbridge, New Jersey, licensed in New Jersey (25MA09351000) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376819243
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. OMAR Q AWANCredential: M.D.
Location Address42 HIGHVIEW DRWoodbridge, NJ 07095-3904
Mailing Address42 Highview DrWoodbridge, NJ 07095-3904 · (732) 397-6000
Phone(732) 397-6000
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 26, 2012
Last NPPES UpdateFebruary 8, 2023
NPPES CertifiedFebruary 8, 2023
✔ NPI 1376819243 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 · 25MA09351000
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.
42 HIGHVIEW DR, Woodbridge, NJ 07095
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Secondary Practice Locations 2

Location 1750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6000
Location 21 Capital WayPennington, NJ 08534-2520 · Phone (609) 303-4000

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

Mr. Omar Q Awan M.d. 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 ID4587808639
PECOS Enrollment IDI20140122000054
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

6

Medicare enrollment records show Omar Awan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Doctor Omar Awan LLC
0.4 mi
Health Maintenance Organization
900 WOODBRIDGE CENTER DR
Woodbridge, NJ 07095
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1174054167 (732) 397-6000
Hospitalist Physicians Of New Jersey PA
2.4 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
Nj Acute Care Specialists Professional Corporation
15 mi
Hospitalist
300 CENTRAL AVE
East Orange, NJ 07018
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
NPI 1073805917 (973) 672-8400
Holmdel Physician Associates
22 mi
Hospitalist
901 W MAIN ST
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 94 clinicians in this Medicare group
NPI 1346647328 (732) 431-2000
Passaic Hospitalist Services, LLC
25 mi
Hospitalist
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 78 clinicians in this Medicare group
NPI 1144903733 (973) 754-2000
Capital Health Multispecialty Group
32 mi
Surgery
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 600 clinicians in this Medicare group
NPI 1083072342 (609) 394-6000

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 13

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 straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,110 services270 patients
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.
2,032 services288 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
431 services227 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
277 services161 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.
271 services244 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
169 services166 patients

Hospital Affiliations CMS Care Compare 4

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07095 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

32.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality33.33
Improvement Activities0
Cost30.61

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$61.12 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$30.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Omar Awan's NPI number?

The NPI number for Omar Awan is 1376819243. It was assigned to this individual provider in the NPPES registry on March 26, 2012.

Where is Omar Awan located?

Omar Awan practices at 42 Highview Dr, Woodbridge, NJ 07095. The listed phone number is (732) 397-6000.

What is Omar Awan's specialty?

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

Is Omar Awan enrolled in Medicare?

Yes. Omar 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 Omar Awan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Awan reassigns Medicare benefits to 6 organizations: Doctor Omar Awan LLC (Woodbridge, NJ), Hospitalist Physicians Of New Jersey PA (Edison, NJ), Nj Acute Care Specialists Professional Corporation (East Orange, NJ), Holmdel Physician Associates (Freehold, NJ), Passaic Hospitalist Services, LLC (Paterson, NJ) and 1 more organization, listed in the Medicare section above. 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 Omar Awan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Awan accept?

Health plans from Oscar Health list Omar 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 Omar Awan affiliated with any hospitals?

According to CMS data, Omar Awan is affiliated with Riverview Medical Center, Jfk Medical Center, Centrastate Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Omar Awan was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.