Active NPI
Iyad K Radwan, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Katy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- N9481
- Practice address
- 411 Park Grove
Suite #620
Katy, TX 77450-1576 - Phone
- (832) 645-4038
- Fax
- (832) 675-9861
- NPI assigned
- May 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | N9481 | TX | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | N9481 | TX | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | N9481 | TX |
Addresses
Primary practice location
411 Park Grove
Suite #620
Katy, TX 77450-1576
Mailing address
P.O. Box 42453
Houston, TX 77242-2453
Phone (832) 620-3282
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Physical Therapy Texas Limited Partnership
Practice addresses (Care Compare)
13440 University Blvd
Suite 210
Sugar Land, TX 77479-4909
Phone (281) 277-1330
411 Park Grove Dr
Suite 620
Katy, TX 77450-1576
Phone (832) 645-4038
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N9481 | TX | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iyad K. Radwan, MD., PA | Critical Care Medicine | Current | Accepting new patients |
Locations
411 Park Grove Dr
Ste 620
Katy, TX 77450
Phone (832) 645-4038
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Katy, TX
- NPI 1316219512
Critical Care Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Stafford, TX
- NPI 1386882488
Long-term care hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1174582050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1750673901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 42453",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772422453",
"telephone_number": "832-620-3282",
"fax_number": "832-675-9861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 PARK GROVE",
"address_2": "SUITE #620",
"city": "KATY",
"state": "TX",
"postal_code": "774501576",
"telephone_number": "832-645-4038",
"fax_number": "832-675-9861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADWAN",
"first_name": "IYAD",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-06",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "N9481",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "N9481",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "N9481",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.