Individual provider Active NPI

Warda Ibrar, MBBS, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Sioux City, IA
National Provider Identifier
1487057626
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
4301104412 Issued in MI
Practice address
801 5TH St
Sioux City, IA 51101-1326
Phone
(314) 238-5260
Fax
(314) 821-1833
NPI assigned
Oct 2, 2014
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4301104412 MI Primary

Addresses

Primary practice location

801 5TH St
Sioux City, IA 51101-1326

Mailing address

PO Box 310777
Des Moines, IA 50331-0777
Phone (314) 238-5260

Other practice location 1

22101 Moross Rd
CCB-SB
Detroit, MI 48236-2148
Phone (313) 343-3133

Other practice location 2

600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000
Phone (609) 721-2261

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230329003518 TX Practitioner - Pathology 0042542292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Pathology Program PLLCGroup PAC ID 3476956194, 38 clinicians

Practice addresses (Care Compare)

504 Medical Ctr Blvd
Conroe, TX 77304-2808
Phone (936) 539-7737

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301104412MIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2023 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

Interoperability endpoints

  • Direct secure messaging: wibrar433873@direct.hfhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1487057626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310777",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503310777",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011326",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22101 Moross Rd",
            "address_2": "CCB-SB",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482362148",
            "country_code": "US",
            "telephone_number": "313-343-3133",
            "fax_number": "313-383-8318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Sioux Point Rd",
            "address_purpose": "LOCATION",
            "city": "Dakota Dunes",
            "state": "SD",
            "postal_code": "570495000",
            "country_code": "US",
            "telephone_number": "609-721-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAR",
        "first_name": "WARDA",
        "name_prefix": "Dr.",
        "credential": "MBBS, M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301104412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.