Individual provider Active NPI

Shahid Nadeem, M.D

  • Pediatric Nephrology Physician
  • Dallas, TX
National Provider Identifier
1417111964
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
R2181 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone
(214) 456-7000
NPI assigned
Jul 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 35.134942 OH
Pediatrics Physician 208000000X 390200000X WV
Pediatrics Physician 208000000X MD.206689 LA
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X R2181 TX
Pediatric Nephrology Physician 2080P0210X R2181 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (214) 456-7000

Other practice location 1

3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-3400

Other practice location 2

1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-3600

Other practice location 3

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 704-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190108004089 OH Practitioner - Pediatric MedicinePractitioner - Nephrology 1153547567 Reassigns benefits to 3 organizations
I20200316001918 TX Practitioner - Pediatric Medicine 1153547567 Reassigns benefits to 6 organizations
I20241121000228 TN Practitioner - NephrologyPractitioner - Pediatric Medicine 1153547567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Pediatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Lebonheur Pediatric Specialists, Inc.Group PAC ID 7719173939, 162 clinicians

Practice addresses (Care Compare)

51 N Dunlap St
Memphis, TN 38105-4625
Phone (901) 287-7337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
390200000XWVMDAnesthesiology Physician
MD.206689LAMDPediatrics Physician
R2181TXMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 27, 2020 Accepting new patients
University Hospitals Medical Group Inc Pediatrics CurrentSince Dec 1, 2018 Accepting new patients
The Metrohealth System CurrentSince Jul 1, 2019 Accepting new patients
The Metrohealth System Pediatrics CurrentSince Jul 1, 2019 Accepting new patients
Dayton Children's Specialty Physicians, Inc. Pediatric Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Dayton Children's Specialty Physicians, Inc. Pediatrics CurrentSince Jan 1, 2022 Accepting new patients
The Metrohealth System Current Accepting new patients
Nueces Emergency Medicine Associates PA Pediatric Emergency Medicine CurrentSince Aug 6, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Pediatrics CurrentSince Jul 27, 2020 Accepting new patients
Ut Lebonheur Pediatric Specialists, Inc. Pediatrics CurrentSince Oct 1, 2024 Accepting new patients
Instant Medical Services PLLC Pediatric Emergency Medicine Current Accepting new patients
Pediatric Emergency Medicine Group LLP CurrentSince Sep 15, 2021 Accepting new patients
Baylor College of Medicine Pediatrics CurrentSince Mar 1, 2024 Accepting new patients
Complex Care Medical Services Corporation Pediatrics Past Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11100 Euclid Ave
Cleveland Heights, OH 44106

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400

850 Poplar Ave
Bldg 2
Memphis, TN 38105
Phone (901) 287-5594

848 Adams Ave
Memphis, TN 38103
Phone (901) 287-5437

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618

4017 E Plano Pkwy
Ste 430
Plano, TX 75074
Phone (972) 955-4046

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: snadeem421051@christushealth.direct-ci.net
  • Direct secure messaging: snadeem160926@direct.metrohealth.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1417111964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-456-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "214-456-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 W Tech Rd",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453420955",
            "country_code": "US",
            "telephone_number": "937-641-3400",
            "fax_number": "937-641-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041815",
            "country_code": "US",
            "telephone_number": "937-641-3600",
            "fax_number": "937-641-5802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 N Santa Rosa",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782073108",
            "country_code": "US",
            "telephone_number": "210-704-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADEEM",
        "first_name": "SHAHID",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "OH",
            "license": "35.134942",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.206689",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "R2181",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "TX",
            "license": "R2181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.