CMS-1500 Box 24J / 33a • NPI
1649808213
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207ND0101X (CMS 07)
Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)
Box 32 Service Location & ZIP+4
400 WASHINGTON ST STE 200, BRAINTREE, MA, 02184-4769
✓ 9-Digit EDI 837 ZIP+4 (02184-4769)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1649808213 (MARY E. AWAD, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1649808213 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARY E. AWAD, MD |
| Plain-English Specialty | Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) NUCC Code: 207ND0101X (Dermatology, MOHS-Micrographic Surgery) |
| Certifying / Licensing Body | American Board of Dermatology (ABD) |
| Practice Location Address | 400 WASHINGTON ST STE 200, BRAINTREE, MA, 02184-4769 |
| Practice Telephone / Fax | Tel: (781) 380-8150 | Fax: (781) 380-8160 |
| Administrative Mailing Address | 526 MAIN ST STE 302, ACTON, MA, 01720-3301 |
| Enumeration & Last Sync | Enumerated: 2020-03-30 | CMS Record Updated: 2026-04-24 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207ND0101X)
What Does Taxonomy Code 207ND0101X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207ND0101X translates to:
"Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARY E. AWAD, MD)
Typical CPT / Diagnostic Procedures:- Full-Body Dermoscopy & Skin Cancer Screening
- Shave, Punch & Excisional Skin Biopsy (CPT 11102–11107)
- Cryotherapy Destruction of Actinic Keratoses & Viral Warts (CPT 17000)
- Topical Corticosteroids (Triamcinolone, Clobetasol) & Calcineurin Inhibitors
- Topical & Oral Retinoids (Tretinoin, Adapalene, Isotretinoin)
- Doxycycline, Minocycline & Antifungals (Terbinafine, Ketoconazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207N00000X — DermatologyPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: MA | License: 1023639 | Primary: Secondary |
207ND0101X — Dermatology, MOHS-Micrographic SurgeryPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: MA | License: 10236639 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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