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DR. ZAFAR AHMAD AWAN MD
NPI 1831280825
Internal Medicine in Pickerington, OH

Active since September 27, 2006PECOS Enrolled
85.17/100
CMS Quality Rating
13928- BAINWICK DRIVE NW, PICKERINGTON, OH 43147(740) 919-0275(740) 919-0234 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Zafar Ahmad Awan Md NPPES

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

DR. ZAFAR AHMAD AWAN MD (NPI 1831280825) is an individual internal medicine provider in Pickerington, Ohio, licensed in Ohio (35.088573) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831280825
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ZAFAR AHMAD AWANCredential: MD
Location Address13928- BAINWICK DRIVE NWPickerington, OH 43147-0000
Mailing Address13928- Bainwick Drive NwPickerington, OH 43147-0000 · (614) 452-4533 · Fax (740) 919-0275
Phone(740) 919-0275
Fax(740) 919-0234
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJune 28, 2021
NPPES CertifiedJune 28, 2021
✔ NPI 1831280825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.088573
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.
13928- BAINWICK DRIVE NW, Pickerington, OH 43147
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Other Identifiers 2

Medicaid2691485OH
Other35088573OH · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Zafar Ahmad Awan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Ohio Emergency Professionals Inc
13 mi
Emergency Medicine
50 W BROAD ST
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 474 clinicians in this Medicare group
NPI 1982983425 (440) 887-4718
Incare Health Solutions LLC
48 mi
Internal Medicine
175 EDGEFIELD BLVD
Marion, OH 43302
  • Reassigned Medicare billing, Ohio enrollment
  • 221 clinicians in this Medicare group
NPI 1235422403 (740) 751-6433
Mid-Ohio Emergency Group, LLC
58 mi
Emergency Medicine
335 GLESSNER AVE
Mansfield, OH 44903
  • Reassigned Medicare billing, Ohio enrollment
  • 125 clinicians in this Medicare group
NPI 1881164010 (419) 526-8000
Ohio Emergency Care Services Inc
  • Reassigned Medicare billing, Ohio enrollment
  • 179 clinicians in this Medicare group
No phone listed

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.
19 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43147 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.92
Improvement Activities40

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 Zafar Awan's NPI number?

The NPI number for Zafar Awan is 1831280825. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Zafar Awan located?

Zafar Awan practices at 13928- Bainwick Drive NW, Pickerington, OH 43147. The listed phone number is (740) 919-0275.

What is Zafar Awan's specialty?

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

Is Zafar Awan enrolled in Medicare?

Yes. Zafar Awan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Zafar Awan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zafar Awan reassigns Medicare benefits to 4 organizations: Ohio Emergency Professionals Inc (Columbus, OH), Incare Health Solutions LLC (Marion, OH), Mid-Ohio Emergency Group, LLC (Mansfield, OH) and Ohio Emergency Care Services Inc (OH). 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 Zafar Awan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zafar Awan accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Zafar 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.

When was this NPI record last updated?

The NPPES record for Zafar Awan was last updated on June 28, 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.