Abdul Shakoor Badr, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

U1171 Issued in TX

Practice address

2203 W Lampasas St Ste 210
Ennis, TX 75119-5668

Phone

(972) 875-1500

NPI assigned

Jun 15, 2012

Last updated

Oct 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

General Surgery

Education

University College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Specialty PhysiciansGroup PAC ID 6305901927, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747
• Parkview Regional Hospital Hospital, Mexia, TX, CCN 450400
• Ennis Regional Medical Center Hospital, Ennis, TX, CCN 450833

Merit-based Incentive Payment System (MIPS)

Final score

81.93 of 100Reported as group

Promoting interoperability

78

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abdul.badr.1@20210.direct.athenahealth.com
• Direct secure messaging: nip4022@yourcarecommunity.org

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.

• Texas Specialty Physicians

  dba Palestine Pediatrics

  • Family Medicine Physician
  • Palestine, TX
  • NPI 1558521179

  Surgery

  Medicare reassignment Care Compare group NPD
• Texas Specialty Physicians

  dba Palestine Medical Group: Behavioral Health

  • Psychiatry Physician
  • Palestine, TX
  • NPI 1861378168
  NPD
• Texas Specialty Physicians

  dba Smith General Surgery

  • Surgery Physician
  • Ennis, TX
  • NPI 1942538616
  NPD

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

• Mexia Principal Healthcare Limited Partnership

  dba Parkview Regional Hospital

  • General Acute Care Hospital
  • Mexia, TX
  • NPI 1497708929
  Care Compare affiliation
• Palestine Principal Healthcare Limited Partnership

  dba Palestine Regional Medical Center

  • General Acute Care Hospital
  • Palestine, TX
  • NPI 1164510673
  Care Compare affiliation
• Palestine Principal Healthcare Limited Partnership

  dba Palestine Regional Rehabilitation Hospital

  • Rehabilitation Hospital
  • Palestine, TX
  • NPI 1326113762
  Care Compare affiliation
• PRHC Ennis LP

  dba Ennis Regional Medical Center

  • General Acute Care Hospital
  • Ennis, TX
  • NPI 1700805678
  Care Compare affiliation

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1285996116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST STE 210",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195668",
            "telephone_number": "972-875-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST STE 210",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195668",
            "telephone_number": "972-875-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 W Lampasas St",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "TX",
            "postal_code": "751195644",
            "country_code": "US",
            "telephone_number": "972-875-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADR",
        "first_name": "ABDUL SHAKOOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "U1171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Armstrong, SLP
• Astral Emergency Physicians, PLLC
• Muinat Ayinde, APRN
• Taylor Ashley Azua, OT
• B. R. a. Anesthesia, PC
• Alice Ann Bagby, FNP
• William Carroll Ballard II
• Molly Dickens Barlow, LPC
• Lori Annette Barron
• Basem Jassin, MD PA (Ennis Ear, Nose & Throat)

• Surgery Physician in Ennis, TX
• Providers in Ennis, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.