Kevin Abadi
Individual provider Active NPI Emergency Medicine Physician · Austin, TX
NPI 1104403443 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1104403443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- U8927 (TX)
- Practice address
- 15 Waller St Ofc 222
Austin, TX 78702-5240 - Phone
- (512) 978-0000
- NPI assigned
- Mar 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Florida Atlantic University, College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Services of TX, PLLC
Longhorn Emergency Medical Associates PA
Practice addresses (Care Compare)
11100 Shadow Creek Pkwy
Pearland, TX 77584-7285
Phone (713) 770-7000
919 E 32ND St
St David'S Med Ctr
Austin, TX 78705-2703
Phone (830) 997-4353
Hospital & facility affiliations
- HCA Houston Healthcare Pearland
- North Austin Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240118000726 | FL | Practitioner - General Practice | 0042629040 | Reassigns benefits to 1 organization |
| I20240709004670 | TX | Practitioner - Emergency Medicine | 0042629040 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 543369 | FL | MD | Paramedic |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longhorn Emergency Medical Associates PA | Single Specialty | Current |
Accepting new patients |
| Emergency Medicine Services of TX, PLLC | Single Specialty | Current |
Accepting new patients |
| Emergency Medicine Services of FL, LLC | Single Specialty | Current |
Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 543369 | FL | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | ME161108 | FL | |
| General Practice Physician |
208D00000X | ME161108 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | U8927 | TX | Yes |
Addresses
Primary practice location
15 Waller St Ofc 222
Austin, TX 78702-5240
Mailing address
231 174TH St Apt 819
Sunny Isles Beach, FL 33160-3317
Other practice location 1
703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (315) 573-3404
Other providers in Austin, TX
- Aaron Engels DDS PC
- Carol Stanley Aaron
- Ramona Lynn Aarsvold
- Aasastat
- Ab & MJ Care LLC
- Abalone Acupuncture of Austin
- Maribel Abarro
- Georgina Uche Abattam
- Audrey Abawi
- Solomon Abay
All providers in Austin, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.