Active NPI
Nidal Jamal Badran, MD
- Nephrology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- J9616
- Practice address
- 7712 Eckhert Rd
San Antonio, TX 78240-3008 - Phone
- (210) 520-8060
- NPI assigned
- Jan 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hemodialysis Registered Nurse | 163WH0500X | J9616 | TX | |
| Nephrology Physician | 207RN0300X | J9616 | TX | Primary |
Addresses
Primary practice location
7712 Eckhert Rd
San Antonio, TX 78240-3008
Mailing address
2 Elmwood Park Dr Apt 225
Staten Island, NY 10314-7526
Phone (210) 390-9492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MI, MO, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600
1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2900
400 Baltimore
San Antonio, TX 78215-1919
Phone (210) 228-0743
6002 Woodway PL
San Antonio, TX 78249-1953
Phone (800) 975-1652
Hospital & facility affiliations
- DaVita Downtown San Antonio Dialysis
- DaVita Westover Dialysis
- Methodist Hospital
- Baptist Medical Center
- Christus Santa Rosa Hospital-San Marcos
- Missouri Delta Medical Center
- Christus Santa Rosa Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J9616 | TX | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Micaby Medical,PLLC | Nephrology | Current | Accepting new patients |
| Missouri Delta Medical Center | Nephrology | Current | Accepting new patients |
| Robert G. Szewc, M.D., P.a. | Nephrology | Current | Accepting new patients |
| Panther Inpatient Care PLLC | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Current | Accepting new patients | |
| San Antonio Kidney Disease Center Physicians Group, P.L.L.C. | Nephrology | Current | Accepting new patients |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Current | Accepting new patients | |
| Stem Medical Group, PC | Current | Accepting new patients | |
| San Antonio Kidney Disease Center Physicians Group, P.L.L.C. | Nephrology | Past | Accepting new patients |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients | |
| Physicians Unity | Past | Accepting new patients | |
| San Antonio Kidney Disease Center Physicians Group, P.L.L.C. | Nephrology | Past | Accepting new patients |
Locations
501 S Cherry St
Ste 1100
Denver, CO 80246
Phone (404) 227-4864
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
2660 E Common St
Ste 201
New Braunfels, TX 78130
Phone (830) 620-4650
2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955
11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066
1222 McCullough Ave
#101
San Antonio, TX 78212
Phone (210) 858-7604
400 Baltimore
San Antonio, TX 78215
Phone (210) 222-1424
4330 Medical Dr
Ste 105
San Antonio, TX 78229
Phone (210) 692-7228
915 S Laredo St
#200
San Antonio, TX 78204
Phone (210) 798-1965
7142 San Pedro Ave
Ste 120
San Antonio, TX 78216
Phone (210) 481-7453
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979
1410 E Walnut St
Seguin, TX 78155
Phone (830) 549-5022
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- nidalbadran@sakdc.allscriptsdirect.net
Organizations & group practices 14
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.
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1699078568
-
- Nephrology Physician
- San Antonio, TX
- NPI 1356325922
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Nephrology Physician
- San Antonio, TX
- NPI 1366599888
-
- Nephrology Physician
- San Antonio, TX
- NPI 1902422785
-
- Community/Retail Pharmacy
- Malden, MO
- NPI 1578371621
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1679878268
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Antonio, TX
- NPI 1841573086
Dialysis facility
-
- General Acute Care Hospital
- New Braunfels, TX
- NPI 1114725033
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1194787218
-
- General Acute Care Hospital
- San Marcos, TX
- NPI 1447883301
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
-
- General Acute Care Hospital
- Sikeston, MO
- NPI 1831269539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1831662568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ELMWOOD PARK DR APT 225",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103147526",
"telephone_number": "210-390-9492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7712 ECKHERT RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403008",
"telephone_number": "210-520-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADRAN",
"first_name": "NIDAL",
"middle_name": "JAMAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-04",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hemodialysis",
"state": "TX",
"license": "J9616",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "J9616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.