Active NPI
Wafa Rawhi Badwan
- Nephrology Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2008-01262
- Practice address
- 2355 W Arlington Blvd
Greenville, NC 27834-2847 - Phone
- (252) 744-2545
- Fax
- (252) 744-1817
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25554 | WV | |
| Nephrology Physician | 207RN0300X | 25554 | WV | |
| Nephrology Physician | 207RN0300X | 2008-01262 | NC | Primary |
Addresses
Primary practice location
2355 W Arlington Blvd
Greenville, NC 27834-2847
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Other practice location 1
100 Airport Rd Fl 4
Kinston, NC 28501-1604
Phone (252) 522-7197
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1501E | Other | NC | BCBSNC |
| 1497954200 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wbadwan287048@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081213000182 | NC | Practitioner - Internal Medicine | 7810058500 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Brody School of Medicine at East Carolina University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Unc Physicians Network LLCVidant Medical Group LLC
Practice addresses (Care Compare)
100 Airport Rd
FL 4
Kinston, NC 28501-1604
Phone (252) 522-7197
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757
401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080
Hospital & facility affiliations
- Unc Lenoir Health Care
- Ecu Health Medical Center
- Lenoir Memorial Hospital Rehab Unit
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Internal Medicine | Current | Accepting new patients |
| Lenoir HM Services LLC | Past | Accepting new patients | |
| Comprehensive Hospitalist Services of North Carolina LLC | Past | Accepting new patients |
Locations
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000
100 Airport Rd
Fl 4
Kinston, NC 28501
Phone (252) 522-7197
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
Interoperability endpoints
- wbadwan287048@direct.unc.nchie.net
- wbadwan18601@direct.ecuhealth.com
Organizations & group practices 7
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.
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
Internal Medicine
-
- Ambulatory Surgical Clinic/Center
- Kinston, NC
- NPI 1376049619
-
- Cardiac Rehabilitation Clinic/Center
- Roanoke Rapids, NC
- NPI 1750125035
-
- Hospitalist Physician
- Marion, NC
- NPI 1467659508
-
- Hospitalist Physician
- Kinston, NC
- NPI 1194031757
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Kinston, NC
- NPI 1760426183
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Kinston, NC
- NPI 1962446385
Hospital
-
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
Hospital
-
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1497954200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342847",
"telephone_number": "252-744-2545",
"fax_number": "252-744-1817"
}
],
"practiceLocations": [
{
"address_1": "100 Airport Rd Fl 4",
"address_purpose": "LOCATION",
"city": "Kinston",
"state": "NC",
"postal_code": "285011604",
"country_code": "US",
"telephone_number": "252-522-7197",
"fax_number": "252-522-7288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BADWAN",
"first_name": "WAFA",
"middle_name": "RAWHI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "25554",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WV",
"license": "25554",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "2008-01262",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "1501E",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497954200",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wbadwan287048@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "100 Airport Rd Fl 4",
"city": "Kinston",
"state": "NC",
"country_code": "US",
"postal_code": "285011604",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.
- 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.