NPIMap

Individual provider Active NPI

Soumaya Bader, DPM

  • Foot Surgery Podiatrist
  • Chesapeake, VA
National Provider Identifier
1568982247
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0103301296 Issued in VA
Practice address
632 Cedar Rd Ste B
Chesapeake, VA 23322-8376
Phone
(757) 547-0123
NPI assigned
Jun 22, 2017
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 0103301296 VA Primary

Addresses

Primary practice location

632 Cedar Rd Ste B
Chesapeake, VA 23322-8376

Mailing address

2023 Greenfield LN
Allen, TX 75013-2964

Other practice location 1

12141 Richmond Ave
Houston, TX 77082-2408
Phone (281) 531-4100

Other practice location 2

1076 US Highway 17 S
Elizabeth City, NC 27909-7627
Phone (252) 333-3111

Other names 1

  • Soumaya Badr Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200729004019 VA Practitioner - Podiatry 1658796271 Reassigns benefits to 2 organizations
I20201102000000 NC Practitioner - Podiatry 1658796271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seva Foot and Ankle CenterGroup PAC ID 2365792967, 4 clinicians

Practice addresses (Care Compare)

3511 Western Branch Blvd
Portsmouth, VA 23707-3133
Phone (757) 397-3668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of skin lesions1-10
Removal of nail tissue247
Removal or shaving of skin growth47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301296VAMDFoot Surgery Podiatrist
728NCMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Active Foot and Ankle of Carolina PLLC Podiatrist CurrentSince Jul 15, 2020 Accepting new patients
Active Foot and Ankle Center, PC Foot & Ankle Surgery CurrentSince Jul 15, 2020 Accepting new patients
Active Foot and Ankle Center, PC Podiatrist CurrentSince Jul 15, 2020 Accepting new patients
Seva Foot and Ankle Center Podiatrist CurrentSince Sep 1, 2023 Accepting new patients
Active Foot and Ankle of Carolina PLLC Foot Surgery CurrentSince Jul 15, 2020 Accepting new patients
Podiatry LTD Foot Surgery CurrentSince Sep 1, 2023 Accepting new patients

Locations

369 Johnstown Rd
Chesapeake, VA 23322
Phone (757) 546-0301

632 Cedar Rd
Ste B
Chesapeake, VA 23322
Phone (757) 547-0123

102 Fairview Dr
Ste 102E
Franklin, VA 23851
Phone (757) 397-3668

3511 Western Branch Blvd
Portsmouth, VA 23707
Phone (757) 397-3668

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: soumaya.bader.1@19643.direct.athenahealth.com

Organizations & group practices 6

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 9

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1568982247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 GREENFIELD LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 CEDAR RD STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228376",
            "telephone_number": "757-547-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12141 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770822408",
            "country_code": "US",
            "telephone_number": "281-531-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1076 US Highway 17 S",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279097627",
            "country_code": "US",
            "telephone_number": "252-333-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADER",
        "first_name": "SOUMAYA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103301296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOUMAYA",
            "last_name": "BADR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.