NPIMap

Individual provider Active NPI

Shaad B Bidiwala, M.D

  • Specialist
  • Dallas, TX
National Provider Identifier
1255350104
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L8619 Issued in TX
Practice address
3600 Gaston Ave
Suite 907
Dallas, TX 75246-1800
Phone
(214) 823-2052
Fax
(214) 823-5747
NPI assigned
Jul 19, 2006
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L8619 TX Primary

Addresses

Primary practice location

3600 Gaston Ave
Suite 907
Dallas, TX 75246-1800

Mailing address

6080 N Central Expy Ste 150
Dallas, TX 75206-5202
Phone (214) 823-2052

Other identifiers 1

IdentifierTypeStateIssuer
8B9442MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040715000178 TX Practitioner - NeurosurgeryPractitioner - Neurology 1456330364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Louisville School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Texas Neurosurgery, LLPGroup PAC ID 3476632605, 5 clinicians

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 823-2052

6080 N Central Expy
Suite 150
Dallas, TX 75206-5202
Phone (214) 823-2052

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
91
Improvement activities
40
Cost
61.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion193
Laminectomy or laminotomy (partial removal of spine bones)49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Neurosurgery, LLP Specialist CurrentSince Apr 1, 2008 Accepting new patients
Mid Central Neuro Affiliates PLLC PastSince Apr 1, 2020 Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

3600 Gaston Ave
Ste 907
Dallas, TX 75246
Phone (214) 823-2052

6080 N Central Expy
Ste 150
Dallas, TX 75206
Phone (214) 823-2052

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFFACA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1255350104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 N CENTRAL EXPY STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065202",
            "telephone_number": "214-823-2052",
            "fax_number": "214-823-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 907",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-823-2052",
            "fax_number": "214-823-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDIWALA",
        "first_name": "SHAAD",
        "middle_name": "B",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L8619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8B9442",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.