Active NPI
Shadi Mourad, MD
- Nephrology Physician
- Seguin, TX
National Provider Identifier
1043424286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- N1000
- Practice address
- 711 E Court St
Seguin, TX 78155-5719 - Phone
- (210) 655-8470
- Fax
- (210) 967-0276
- NPI assigned
- May 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | N1000 | TX | Primary |
Addresses
Primary practice location
711 E Court St
Seguin, TX 78155-5719
Mailing address
16620 N US Highway 281
Suite 300
San Antonio, TX 78232-2327
Phone (210) 614-1231
Other practice location 1
11481 Toepperwein Rd Ste 1202
Live Oak, TX 78233-3146
Phone (210) 655-8470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195928001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
711 E Court St
Seguin, TX 78155-5719
Phone (210) 655-8470
Hospital & facility affiliations
- Fresenius Medical Care of West Seguin
- New Braunfels Kidney Disease Clinic
- Guadalupe Regional Medical Center
- Resolute Health Hospital
- Christus Santa Rosa Hospital-San Marcos
- Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N1000 | TX | MD | Nephrology Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FHGDAA/Endpoint/FHGDAA
- shadi.mourad@ra.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Nephrology Physician
- San Antonio, TX
- NPI 1851368112
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Braunfels, TX
- NPI 1861839763
Dialysis facility
-
- General Acute Care Hospital
- New Braunfels, TX
- NPI 1114725033
-
- General Acute Care Hospital
- San Marcos, TX
- NPI 1447883301
-
- Rural Acute Care Hospital
- Gonzales, TX
- NPI 1932108214
-
- General Acute Care Hospital
- Seguin, TX
- NPI 1720088123
-
- General Acute Care Hospital
- Seguin, TX
- NPI 1780529966
-
- General Acute Care Hospital
- New Braunfels, TX
- NPI 1427472463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1043424286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16620 N US HIGHWAY 281",
"address_2": "SUITE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782322327",
"telephone_number": "210-614-1231",
"fax_number": "210-616-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 E COURT ST",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555719",
"telephone_number": "210-655-8470",
"fax_number": "210-967-0276"
}
],
"practiceLocations": [
{
"address_1": "11481 Toepperwein Rd Ste 1202",
"address_purpose": "LOCATION",
"city": "Live Oak",
"state": "TX",
"postal_code": "782333146",
"country_code": "US",
"telephone_number": "210-655-8470",
"fax_number": "320-967-0276",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOURAD",
"first_name": "SHADI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "N1000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "195928001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seguin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.