Individual provider Active NPI

Vaibhav Kanawade, MD

  • Orthopaedic Surgery Physician
  • Mission, TX
National Provider Identifier
1609356922
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
T2407 Issued in TX
Practice address
910 S Bryan Rd Ste 205
Mission, TX 78572-6659
Phone
(210) 709-4110
NPI assigned
Aug 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X T2407 TX Primary

Addresses

Primary practice location

910 S Bryan Rd Ste 205
Mission, TX 78572-6659

Mailing address

2417 Colorado St Apt 3202
Mission, TX 78572-3944
Phone (210) 702-7862

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
I20211028001752 TX Practitioner - Orthopedic Surgery 1254681455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Doctors GroupGroup PAC ID 7315918976, 8 clinicians

Practice addresses (Care Compare)

910 S Bryan Rd
Suite 205
Mission, TX 78572-6659
Phone (956) 323-9000

Hospital & facility affiliations

  • High Point Home Health LP Home health agency, Mission, TX, CCN 679752
  • Mission Regional Medical Center Hospital, Mission, TX, CCN 450176

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Doctors Group Orthopaedic Surgery CurrentSince Oct 18, 2021 Accepting new patients

Locations

910 S Bryan Rd
Ste 103
Mission, TX 78572
Phone (956) 519-3523

910 S Bryan Rd
Ste 205
Mission, TX 78572
Phone (956) 323-9000

910 S Bryan Rd
Mission, TX 78572
Phone (956) 519-8188

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1609356922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 COLORADO ST APT 3202",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723944",
            "telephone_number": "210-702-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S BRYAN RD STE 205",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726659",
            "telephone_number": "210-709-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAWADE",
        "first_name": "VAIBHAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "T2407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.