Omar Al Azzawi
NPI 1407581085ActiveIndividual· Internal Medicine· Modesto, CA
Internal Medicine in Modesto, California, licensed in CA, with an NPI issued in July 2022. Enrolled in Medicare as order and referring only - internal medicine. Lists Memorial Medical Center as a hospital affiliation.
Overview
| NPI | 1407581085 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 19, 2022 |
| Last updated in NPPES | Oct 4, 2025 |
| Certified by provider | Oct 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A203176 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Internal Medicine (NV) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Hospital affiliation
- Memorial Medical CenterModesto, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 169 internal medicine physicians in Modesto · All internal medicine physicians in California