Active NPI
Maheen Adam Wardak, MD
- Anesthesiology Physician
- Houston, TX
National Provider Identifier
1013203801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- N8470
- Practice address
- 6565 Fannin St
Houston, TX 77030-2703 - Phone
- (713) 441-2194
- Fax
- (713) 441-1495
- NPI assigned
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | N8470 | TX | Primary |
Addresses
Primary practice location
6565 Fannin St
Houston, TX 77030-2703
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 715-5000
Other practice location 1
1500 Citywest Blvd
Ste. 300
Houston, TX 77042-2300
Phone (713) 620-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8EC774 | Other | TX | BCBS |
| 288369602 | Medicaid | TX | |
| P01305888 | Other | TX | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N8470 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Dentistry of Keller PLLC | Past | Accepting new patients | |
| First Surgical Anesthesia Services | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Shenandoah, TX
- NPI 1457674442
-
- Pediatric Dentistry
- Keller, TX
- NPI 1750934253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1013203801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302703",
"telephone_number": "713-441-2194",
"fax_number": "713-441-1495"
}
],
"practiceLocations": [
{
"address_1": "1500 Citywest Blvd",
"address_2": "Ste. 300",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770422300",
"country_code": "US",
"telephone_number": "713-620-4000",
"fax_number": "713-458-4229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARDAK",
"first_name": "MAHEEN",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "N8470",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8EC774",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288369602",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01305888",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.