Shahroz Kidwai, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

Q1433 Issued in TX

Practice address

1321 W 2ND Ave
Suite 100
Corsicana, TX 75110-3798

Phone

(903) 874-9206

Fax

(903) 874-4234

NPI assigned

May 24, 2011

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, TX, FL3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newgen Em CPM PLLCGroup PAC ID 0143793851, 6 clinicians

Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cogdell Memorial Hospital Hospital, Snyder, TX, CCN 451384
• Permian Regional Medical Center Andrews County Ho Hospital, Andrews, TX, CCN 450144
• Methodist McKinney Hospital Hospital, McKinney, TX, CCN 670069
• North Central Surgical Center LLP Hospital, Dallas, TX, CCN 670049
• Covenant Medical Center Hospital, Lubbock, TX, CCN 450040

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 45)

Interoperability endpoints

• Direct secure messaging: skidwai640247@direct.shands.ufl.edu
• Direct secure messaging: skidwai79683@direct.phs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment Care Compare group NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment Care Compare group NPD
• Newgen Em CPM PLLC

  • Emergency Medicine Physician
  • Woodville, TX
  • NPI 1003756727
  Medicare reassignment Care Compare group NPD
• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019
  Medicare reassignment NPD
• Doucette Branch Inpatient Services PLLC

  • Emergency Medicine Physician
  • Woodville, TX
  • NPI 1922554484
  Medicare reassignment NPD
• Emergency Physicians of West Bluff PLLC

  • Emergency Medicine Physician
  • Woodville, TX
  • NPI 1558539452
  Medicare reassignment NPD
• Hospital Care Consultants of Corpus Christi

  • Emergency Medicine Physician
  • Corpus Christi, TX
  • NPI 1275088452
  Medicare reassignment NPD
• Ies Carrollton PLLC

  • Emergency Medicine Physician
  • Carrollton, TX
  • NPI 1134769789
  Medicare reassignment NPD
• Inpatient Physician Associates PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1285696898
  Medicare reassignment NPD
• Ipa ER Group PLLC

  • Emergency Medicine Physician
  • Trophy Club, TX
  • NPI 1588488571
  Medicare reassignment NPD
• Questcare Hospitalists PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1265441620
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Andrews County Hospital District

  dba Permian Regional Medical Center

  • Rural Acute Care Hospital
  • Andrews, TX
  • NPI 1174563779
  Care Compare affiliation
• Covenant Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1972517365
  Care Compare affiliation
• Methodist McKinney Hospital LLC

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1952538431
  Care Compare affiliation
• North Central Surgical Center L.L.P.

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1548236524
  Care Compare affiliation
• Scurry County Hospital District

  dba Cogdell Memorial Hospital

  • Critical Access Hospital
  • Snyder, TX
  • NPI 1578588463
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1013200062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CORSICANA CROSSING BLVD",
            "address_2": "SUITE 101",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "75109",
            "telephone_number": "903-872-6065",
            "fax_number": "903-641-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 W 2ND AVE",
            "address_2": "SUITE 100",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751103798",
            "telephone_number": "903-874-9206",
            "fax_number": "903-874-4234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7905 Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794240616",
            "country_code": "US",
            "telephone_number": "806-368-5837",
            "fax_number": "806-368-5852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10205 Quaker Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794248444",
            "country_code": "US",
            "telephone_number": "806-368-8606",
            "fax_number": "806-701-4036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDWAI",
        "first_name": "SHAHROZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q1433",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q1433",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2013-0797",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "Q1433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Keels, FNP-C
• Zachary Lamar Kelley, M.D.
• Kristen Irene Kelly, COTA
• Sharon K Kelman, M.S.,L.P.C.
• Leslie A Kennedy, M.D.
• Charlotte M. Kimmel, PH.D.
• Robert G Kingman, MD
• Lauren Rebecca Kinkade, LPC
• William B Kinzie, MD
• Julie Lynn Kubin, MS, CCC-SLP

• Emergency Medicine Physician in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.