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OMAR AL AZZAWI
NPI 1407581085
Internal Medicine in Modesto, CA

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment
1011 SYLVAN AVE, MODESTO, CA 95350(209) 572-5906 Get Directions Write a Review

NPPES record last updated: October 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Omar Al Azzawi NPPES

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

OMAR AL AZZAWI (NPI 1407581085) is an individual internal medicine provider in Modesto, California, licensed in California (A203176) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1407581085
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOMAR AL AZZAWI
Location Address1011 SYLVAN AVEModesto, CA 95350-1692
Mailing Address1011 Sylvan AveModesto, CA 95350-1692
Phone(209) 572-5906
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 19, 2022
Last NPPES UpdateOctober 4, 2025
NPPES CertifiedOctober 4, 2025
✔ NPI 1407581085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A203176
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.
1011 SYLVAN AVE, Modesto, CA 95350
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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 and accepts Medicare assignment

Omar Al Azzawi 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 ID2961905823
PECOS Enrollment IDI20250915003089
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 16

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

DR. RONALD F JANDA OD
Optometrist
1011 SYLVAN AVE, STE. A
MODESTO, CA 95350
Stanislaus County (209) 575-2020
DR. ALEXANDRIA MEYERS MD
Family Medicine
1011 SYLVAN AVE
MODESTO, CA 95350
Stanislaus County (209) 572-5906
STANLEY MICHAEL MARTIN OD
Optometrist
1011 SYLVAN AVE
MODESTO, CA 95350
Stanislaus County (209) 575-2020
BRIAN S FECHTER MD
Ophthalmology
1011 SYLVAN AVE, C
MODESTO, CA 95350
Stanislaus County (209) 550-4780
MARISSA BROOKE WALL OD
Optometrist
1011 SYLVAN AVE
MODESTO, CA 95350
Stanislaus County (209) 575-2020
ANTHONY JAMES GUIDA MD
Ophthalmology
1011 SYLVAN AVE
MODESTO, CA 95350
Stanislaus County (209) 575-2020
ABRAHAM ISAAC MONTANO MD
Internal Medicine
1011 SYLVAN AVE
MODESTO, CA 95350
Stanislaus County (209) 572-5906
KERRY ALAN HORNER O.D.
Optometrist
1011 SYLVAN AVE
MODESTO, CA 95350
Stanislaus County (209) 575-2020

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 Al Azzawi's NPI number?

The NPI number for Omar Al Azzawi is 1407581085. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Omar Al Azzawi located?

Omar Al Azzawi practices at 1011 Sylvan Ave, Modesto, CA 95350. The listed phone number is (209) 572-5906.

What is Omar Al Azzawi's specialty?

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

Is Omar Al Azzawi enrolled in Medicare?

Yes. Omar Al Azzawi 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.

When was this NPI record last updated?

The NPPES record for Omar Al Azzawi was last updated on October 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.