Individual provider Active NPI

Widian Abdul Hadi

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1174013569
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
V9774 Issued in TX
Practice address
1315 St Joseph Pkwy Ste 1507
Houston, TX 77002-8232
Phone
(713) 756-5556
Fax
(713) 756-5585
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X V9774 TX Primary
Surgery Physician 208600000X ME167052 FL

Addresses

Primary practice location

1315 St Joseph Pkwy Ste 1507
Houston, TX 77002-8232

Mailing address

1315 St Joseph Pkwy Ste 1507
Houston, TX 77002-8232
Phone (713) 756-5556

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260305002154 TX Practitioner - General Surgery 1557619079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1908 N Laurent St
Suite 330
Victoria, TX 77901-5467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ME167052FLMDSurgery Physician
V9774TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman MD Provider Inc Multi-Specialty CurrentSince Jan 12, 2026 Accepting new patients

Locations

1315 St Joseph Pkwy
Ste 1507
Houston, TX 77002
Phone (713) 650-6556

1315 St Joseph Pkwy
Ste 806
Houston, TX 77002
Phone (713) 650-1900

Interoperability endpoints

  • Direct secure messaging: walshwaily396832@direct.ynhh.org
  • Direct secure messaging: widian.hadi.1@19036.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1174013569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1507",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028232",
            "telephone_number": "713-756-5556",
            "fax_number": "713-756-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1507",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028232",
            "telephone_number": "713-756-5556",
            "fax_number": "713-756-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADI",
        "first_name": "WIDIAN",
        "middle_name": "ABDUL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "V9774",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME167052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.