Individual provider Active NPI

Nidhi Parikh Kudur, DO

  • Adolescent Medicine (Family Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1487008777
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
S1157 Issued in TX
Practice address
10350 Bandera Rd
San Antonio, TX 78250
Phone
(210) 450-6530
NPI assigned
Apr 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X S1157 TX Primary

Addresses

Primary practice location

10350 Bandera Rd
San Antonio, TX 78250

Mailing address

10350 Bandera Rd
San Antonio, TX 78250-5615
Phone (210) 450-6530

Other practice location 1

2225 E Evesham Rd Ste 101
Voorhees, NJ 08043-1557
Phone (856) 325-3718

Other identifiers 1

IdentifierTypeStateIssuer
398660601MedicaidTX

Other names 1

  • Nidhi R Parikh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20210323002120 NY Practitioner - Family Practice 1355675471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

9 Brooksite Dr
Smithtown, NY 11787-3400
Phone (631) 724-1331

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Form Health Associates Ma, P.C. CurrentSince Mar 12, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Mar 8, 2021 Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
North Shore-Lij Medical PC CurrentSince Mar 8, 2021 Accepting new patients

Locations

109 State St
Ste 5
Boston, MA 02109

300 Community Dr
Manhasset, NY 11030

600 3rd Ave
Fl 2
New York, NY 10016
Phone (212) 547-8861

9 Brooksite Dr
Smithtown, NY 11787
Phone (631) 724-1331

972 Brush Hollow Rd
Westbury, NY 11590

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: nidhikudur@nslijmedgr.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1487008777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505615",
            "telephone_number": "210-450-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78250",
            "telephone_number": "210-450-6530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 E Evesham Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080431557",
            "country_code": "US",
            "telephone_number": "856-325-3718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUDUR",
        "first_name": "NIDHI",
        "middle_name": "PARIKH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "S1157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398660601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIDHI",
            "last_name": "PARIKH",
            "middle_name": "R",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.