Active NPI
Walid K Adham, MD
- Diagnostic Radiology Physician
- Houston, TX
National Provider Identifier
1558323188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- L7634
- Practice address
- 1415 North Loop W
Suite 820
Houston, TX 77008-1664 - Phone
- (713) 861-8200
- Fax
- (713) 861-8261
- NPI assigned
- Apr 6, 2006
- Last updated
- Oct 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | L7634 | TX | Primary |
Addresses
Primary practice location
1415 North Loop W
Suite 820
Houston, TX 77008-1664
Mailing address
1415 North Loop W
Suite 820
Houston, TX 77008-1664
Phone (713) 861-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179235003 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7634 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie County Hospital District | Current | Accepting new patients | |
| Southwest Radiology Assn | Diagnostic Radiology | Past | Accepting new patients |
| Synergy Radiology Associates | Past | Accepting new patients |
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.
-
dba Prairie Community Hospital
- Critical Access Hospital
- Terry, MT
- NPI 1760489272
-
- Diagnostic Radiology Physician
- Webster, TX
- NPI 1275521718
-
- Radiology Practitioner Assistant
- Houston, TX
- NPI 1508298126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1558323188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 NORTH LOOP W",
"address_2": "SUITE 820",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081664",
"telephone_number": "713-861-8200",
"fax_number": "713-861-8261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 NORTH LOOP W",
"address_2": "SUITE 820",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081664",
"telephone_number": "713-861-8200",
"fax_number": "713-861-8261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADHAM",
"first_name": "WALID",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "L7634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179235003",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.