San Antonio Institute of Diabetes, Thyroid & Endocrine Disorders, Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

SAN ANTONIO INSTITUTE OF DIABETES, THYROID & ENDOCRINE DISORDERS, INC

Practice address

4025 E Southcross Blvd Ste 7
San Antonio, TX 78222-3640

Phone

(210) 267-9229

Fax

(210) 267-8005

NPI assigned

Aug 9, 2022

Organization subpart

No

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

Authorized official

Name

Marlise Negrette

Title

Account Manager

Phone

(909) 793-5511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAN ANTONIO INSTITUTE OF DIABETES, THYROID & ENDOCRINE DISORDERS, INC Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Interoperability endpoints

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

Practitioners 1

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

• Shadi G Badrieh, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Everett, WA
  • NPI 1447296280

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1265160196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 E SOUTHCROSS BLVD STE 7",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223640",
            "telephone_number": "210-267-9229",
            "fax_number": "210-267-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 E SOUTHCROSS BLVD STE 7",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223640",
            "telephone_number": "210-267-9229",
            "fax_number": "210-267-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO INSTITUTE OF DIABETES, THYROID & ENDOCRINE DISORDERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "NEGRETTE",
        "authorized_official_first_name": "MARLISE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "909-793-5511"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447296280",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN ANTONIO INSTITUTE OF DIABETES, THYROID & ENDOCRINE DISORDERS, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• San Antonio Independent School District
• San Antonio Independent School District (Bohnam Elementary school)
• San Antonio Infectious Diseases Consultants
• San Antonio Injury Rehabilitation
• San Antonio Inspire Hospice LLC
• San Antonio Integrated Healthcare PLLC
• San Antonio Interdisciplinary Pain Alliance
• San Antonio Internal Medicine Group PA
• San Antonio Internal Medicine Physicians, PLLC
• San Antonio Internal Medicine Physicians, PLLC (Northeast Internal Medical Associates)

• Endocrinology, Diabetes & Metabolism Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.