Individual provider Active NPI

Emad Behnam Bebawy Lawendy, M.D.

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1619139847
Registry record updated Jul 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P9390 Issued in TX
Practice address
8210 Callaghan Rd
San Antonio, TX 78230-4775
Phone
(210) 233-7000
Fax
(210) 348-9607
NPI assigned
Jun 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P9390 TX Primary

Addresses

Primary practice location

8210 Callaghan Rd
San Antonio, TX 78230-4775

Mailing address

3066 E. Commerce St.
San Antonio, TX 78220-1013
Phone (210) 233-7000

Other practice location 1

6750 Tezel Rd Ste 103
San Antonio, TX 78250-4183
Phone (210) 680-0800

Other identifiers 2

IdentifierTypeStateIssuer
12332267MedicaidNM
572029YK73OtherTXMEDICARE

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
I20170518002230 TX Practitioner - Pediatric Medicine 4385818251 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Jul 7, 2017 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
Las Cruces Physician Services LLC PastSince May 1, 2007 Accepting new patients
Full Care Pediatrics PLLC Pediatrics PastSince Jul 28, 2019 Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

14625 Huebner Rd
San Antonio, TX 78230

8210 Callaghan Rd
San Antonio, TX 78230

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

Interoperability endpoints

  • Direct secure messaging: emad.lawendy.1@20140.direct.athenahealth.com
  • Direct secure messaging: emad.lawendy@commsa.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595721600000",
    "number": "1619139847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 E. COMMERCE ST.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782201013",
            "telephone_number": "210-233-7000",
            "fax_number": "210-277-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304775",
            "telephone_number": "210-233-7000",
            "fax_number": "210-348-9607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6750 Tezel Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782504183",
            "country_code": "US",
            "telephone_number": "210-680-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWENDY",
        "first_name": "EMAD",
        "middle_name": "BEHNAM BEBAWY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-29",
        "last_updated": "2020-07-26",
        "certification_date": "2020-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P9390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12332267",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "572029YK73",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.