Individual provider Active NPI

Walid K Adham, MD

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1558323188
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L7634 Issued in TX
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
179235003MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250425001280 MT Practitioner - Diagnostic Radiology 9032192372 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7634TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie County Hospital District Current Accepting new patients
Southwest Radiology Assn Diagnostic Radiology Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 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.

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

Verify at the official NPI Registry.