Organization Active NPI

Badar Kanwar M.D P.a

  • Specialist
  • Gainesville, TX
National Provider Identifier
1134477953
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M6219 Issued in TX
Legal business name
BADAR KANWAR M.D P.A
Practice address
1615 Hospital Blvd
Suite C
Gainesville, TX 76240-2020
Phone
(940) 612-1990
Fax
(940) 612-1985
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Sherri L Schwartz
Title
Billing Manager
Phone
(940) 595-6102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X M6219 TX Primary

Addresses

Primary practice location

1615 Hospital Blvd
Suite C
Gainesville, TX 76240-2020

Mailing address

1615 Hospital Blvd
Suite C
Gainesville, TX 76240-2020
Phone (940) 612-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120912000272 TX Part B Supplier - Clinic/Group Practice 3072761311 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1134477953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL BLVD",
            "address_2": "SUITE C",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402020",
            "telephone_number": "940-612-1990",
            "fax_number": "940-612-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL BLVD",
            "address_2": "SUITE C",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402020",
            "telephone_number": "940-612-1990",
            "fax_number": "940-612-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADAR KANWAR M.D P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "940-595-6102"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "M6219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.