Mohamed Dawood Vadva, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

J5042 Issued in TX

Practice address

2001 9TH Ave
Ste 305
Port Arthur, TX 77642-2701

Phone

(409) 983-3221

Fax

(409) 983-3222

NPI assigned

Aug 3, 2005

Last updated

May 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Internal MedicineAlso: Gastroenterology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mohamed.vadva@bpn.eclinicaldirectplus.com

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.

• Baptist Physician Network

  • Specialist
  • Beaumont, TX
  • NPI 1558485532
  Medicare reassignment Care Compare group NPD
• Nezar a. Shobassy, M.D.P.a.

  dba Gastroenterology Associates

  • Gastroenterology Physician
  • Port Arthur, TX
  • NPI 1679574248
  NPD (past)
• Shobassy G.I.,P.a.

  • Gastroenterology Physician
  • Nederland, TX
  • NPI 1649683319
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - St. Elizabeth

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558224000000",
    "number": "1689675456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD",
            "address_2": "STE 204",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402009",
            "telephone_number": "409-983-3221",
            "fax_number": "409-983-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 9TH AVE",
            "address_2": "STE 305",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776422701",
            "telephone_number": "409-983-3221",
            "fax_number": "409-983-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADVA",
        "first_name": "MOHAMED",
        "middle_name": "DAWOOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2019-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J5042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P081V5226",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "81V522",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "100006737",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ukanti Healthcare Services PLLC
• Landry Kalombo Umbu, MD
• Connie Ung, O.D.
• Tracie Dalene Updike, M.D.
• Ifeoma Uwagboe, RPH
• Monique Nichole Vannoy, FNP
• Maura Vazquez, LVN
• Caitlin Joy Veazey, FNP-C
• Kayla Veillon, PTA
• Bradley Vera, DDS

• Gastroenterology Physician in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.