1. Home
  2. Directory
  3. New Jersey
  4. Newark
  5. Family Medicine
  6. NPI Profile

DR. RABIA SULTANA AWAN M.D
NPI 1477618866
Family Medicine in Newark, NJ

Active since December 26, 2006PECOS EnrolledAccepts Medicare Assignment
201 LYONS AVE STE D-3, NEWARK, NJ 07112(973) 926-8828(973) 923-2061 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Rabia Sultana Awan M.d NPPES

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

DR. RABIA SULTANA AWAN M.D (NPI 1477618866) is an individual family medicine provider in Newark, New Jersey, licensed in New Jersey (MA60390) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Michael's Medical Center, and maintains a secondary practice location in Colonia.

NPPES Registry Identity

NPI1477618866
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RABIA SULTANA AWANCredential: M.D
Location Address201 LYONS AVE STE D-3Newark, NJ 07112
Mailing Address101 Roxy AveEdison, NJ 08820-1939 · (908) 420-4429
Phone(973) 926-8828
Fax(973) 923-2061
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 26, 2006
Last NPPES UpdateOctober 9, 2018
✔ NPI 1477618866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · MA60390
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
201 LYONS AVE STE D-3, Newark, NJ 07112
Open in Google Maps ↗

Secondary Practice Location 1

Location 11503 Saint Georges Ave, Suite 101Colonia, NJ 07067-3425 · Phone (732) 499-9449 · Fax (732) 499-9505

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

Dr. Rabia Sultana 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 ID3173435617
PECOS Enrollment IDI20031103000490
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

2

Medicare enrollment records show Rabia Awan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rabia S Awan MD, PA
Same address
Family Medicine
201 LYONS AVE STE D-3
Newark, NJ 07112
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1659824431 (739) 268-2289
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services13 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%47 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%24 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

RABIA S AWAN MD, PA
Family Medicine
201 LYONS AVE STE D-3
NEWARK, NJ 07112
Essex County (739) 268-2289

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 Rabia Awan's NPI number?

The NPI number for Rabia Awan is 1477618866. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Rabia Awan located?

Rabia Awan practices at 201 Lyons Ave Ste D-3, Newark, NJ 07112. The listed phone number is (973) 926-8828.

What is Rabia Awan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rabia Awan enrolled in Medicare?

Yes. Rabia 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 Rabia Awan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rabia Awan reassigns Medicare benefits to 2 organizations: Rabia S Awan MD, PA (Newark, 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 Rabia Awan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rabia Awan accept?

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

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

When was this NPI record last updated?

The NPPES record for Rabia Awan was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.