Active NPI
Badiaa El-Imad, M.D.
- Infectious Disease Physician
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 24743
- Practice address
- 527 Medical Park Dr Ste 204
Bridgeport, WV 26330-9009 - Phone
- (304) 933-3800
- Fax
- (304) 933-3815
- NPI assigned
- Nov 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Infectious Disease Physician | 207RI0200X | 24743 | WV | Primary |
Addresses
Primary practice location
527 Medical Park Dr Ste 204
Bridgeport, WV 26330-9009
Mailing address
527 Medical Park Dr Ste 204
Bridgeport, WV 26330-9009
Phone (304) 933-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810023285 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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
- Infectious Disease
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 E Chestnut Ave
Suite 3a
Vineland, NJ 08361-8469
Phone (856) 794-8700
Hospital & facility affiliations
- Inspira Medical Center Vineland
- Inspira Medical Center Mullica Hill
- Cooper University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Internal Medicine | Infectious Disease | Current | Accepting new patients |
Locations
155 Bridgeton Pike
Ste A
Mullica Hill, NJ 08062
Phone (856) 223-0500
1450 E Chestnut Ave
Ste 3A
Vineland, NJ 08361
Phone 8567948700 ext. 36
Interoperability endpoints
- badiaa.elimad@cim.directbygreenway.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.7102002
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.
-
- Internal Medicine Physician
- Vineland, NJ
- NPI 1881618932
Infectious Disease
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1174778583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR STE 204",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309009",
"telephone_number": "304-933-3800",
"fax_number": "304-933-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR STE 204",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309009",
"telephone_number": "304-933-3800",
"fax_number": "304-933-3815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-IMAD",
"first_name": "BADIAA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-26",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "WV",
"license": "24743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810023285",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.