Iyad K. Radwan, MD., PA

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

N9481 Issued in TX

Legal business name

IYAD K. RADWAN, MD., PA

Practice address

411 Park Grove
Suite #620
Katy, TX 77450-1576

Phone

(832) 645-4038

Fax

(832) 675-9861

NPI assigned

Feb 2, 2012

Last updated

May 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Iyad K Radwan, MDNPI 1750673901

Title

Physician

Phone

(832) 645-4038

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Iyad K Radwan, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Katy, TX
  • NPI 1750673901

  Critical Care Medicine

  Medicare reassignment NPD Authorized official
• Sari Alhaik, FNP

  • Primary Care Nurse Practitioner
  • Houston, TX
  • NPI 1952908188
  NPD (past)

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1316219512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42453",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772422453",
            "telephone_number": "832-645-4038",
            "fax_number": "832-675-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PARK GROVE",
            "address_2": "SUITE #620",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501576",
            "telephone_number": "832-645-4038",
            "fax_number": "832-675-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IYAD K. RADWAN, MD., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "RADWAN",
        "authorized_official_first_name": "IYAD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-645-4038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "N9481",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "N9481",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "N9481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ives, NP
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• Sophie Jean Ivy, PT
• Iwona Ciba DPM PLLC
• Regina O Iwueze, PMHNP
• Iyore Doris Iyamu, APRN-CNP
• J C Health Services Inc.
• J&D Diagnostics
• Ja Dental Group PLLC
• Joseph Jabbour, D.O.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Katy, TX
• Providers in Katy, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.