Adham Jurdi, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

S2607 Issued in TX

Practice address

900 E 30TH St Ste 100
Austin, TX 78705-3378

Phone

(512) 505-5500

NPI assigned

Jul 16, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Central Texas Medical Specialists PLLC

  dba Austin Cancer Center

  • Radiation Oncology Physician
  • Austin, TX
  • NPI 1821069014

  Medical Oncology

  Medicare reassignment NPD
• Central Texas Medical Specialists, PLLC

  dba Austin Cancer Center

  • Community/Retail Pharmacy
  • Austin, TX
  • NPI 1871945691
  NPD

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1447414776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 BURNET RD. BLDG 7. STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "125-055-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 30TH ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053378",
            "telephone_number": "512-505-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURDI",
        "first_name": "ADHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "276568",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "276568",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "S2607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03971982",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juno Counseling PLLC
• Jupiter Behavioral Partners Texas PLLC
• Jack M Juprasert, MD MS FACS
• Leslie Jurado, PA-C
• Marco Antonio Jurado, AU.D.
• Katy Jurek
• Joe H Juren, M.D.
• Mary Kathleen Jurgens, OTR
• Scott Jurica, DC
• Lisa Margaret W Jurski, PT

• Medical Oncology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Medical Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.