Fred F Poordad, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

P3952 Issued in TX

Practice address

607 Camden St Ste 108
San Antonio, TX 78215

Phone

(210) 253-3426

Fax

(210) 227-6951

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Liver Consultants PAGroup PAC ID 6103063078, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Health System Hospital, San Antonio, TX, CCN 450213

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fred.poordad@commsa.eclinicaldirectplus.com

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.

• Texas Liver Consultants PA

  • Hepatology Physician
  • San Antonio, TX
  • NPI 1851638571
  Medicare reassignment Care Compare group NPD
• Barrio Comprehensive Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1902883739
  Medicare reassignment NPD
• Barrio Comprehensive Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Marcos, TX
  • NPI 1295601052
  NPD
• Barrio Comprehensive Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1427357458
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bexar County Hospital District

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1821011248
  Care Compare affiliation

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1174551766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 CAMDEN ST STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152100",
            "telephone_number": "210-253-3422",
            "fax_number": "210-581-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 CAMDEN ST STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78215",
            "telephone_number": "210-253-3426",
            "fax_number": "210-227-6951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Cottonwood Creek Trl Ste C1",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137862",
            "country_code": "US",
            "telephone_number": "512-454-8378",
            "fax_number": "888-965-8836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 W 34th St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051916",
            "country_code": "US",
            "telephone_number": "512-454-8378",
            "fax_number": "888-965-8836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POORDAD",
        "first_name": "FRED",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "TX",
            "license": "P3952",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "P3952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306530205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Poole, PHD, LPC
• Leandra Poole
• Nia Poole
• Jason Poon
• Danielle Lee Poor, DPT
• Alexis Kaitlyn Poore
• Manju Poovathoor, M.D.
• Edward Pope, LCSW
• Abigail Popelar, CRNA
• Rena M Popma, PSY.D

• Gastroenterology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.

Verify at the official NPI Registry.