Individual provider Active NPI

Nidal Jamal Badran, MD

  • Nephrology Physician
  • San Antonio, TX
National Provider Identifier
1831662568
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J9616 Issued in TX
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

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190605001587 TX Practitioner - NephrologyPractitioner - Internal Medicine 5597098640 Reassigns benefits to 7 organizations
I20231222000758 MI Practitioner - NephrologyPractitioner - Internal Medicine 5597098640
I20231222001902 MO Practitioner - Nephrology 5597098640 Reassigns benefits to 1 organization
I20240202001873 NC Practitioner - Nephrology 5597098640

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
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians
Panther Inpatient Care PLLCGroup PAC ID 6901080183, 14 clinicians
Stem Medical Group PCGroup PAC ID 1759754187, 8 clinicians

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 Dialysis facility, San Antonio, TX, CCN 672556
  • DaVita Westover Dialysis Dialysis facility, San Antonio, TX, CCN 672708
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113
  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9616TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Micaby Medical,PLLC Nephrology CurrentSince Nov 19, 2020 Accepting new patients
Missouri Delta Medical Center Nephrology CurrentSince Nov 18, 2023 Accepting new patients
Robert G. Szewc, M.D., P.a. Nephrology CurrentSince Dec 1, 2019 Accepting new patients
Panther Inpatient Care PLLC CurrentSince Jun 1, 2021 Accepting new patients
Cogent Healthcare of Texas, PA CurrentSince Jan 1, 2022 Accepting new patients
San Antonio Kidney Disease Center Physicians Group, P.L.L.C. Nephrology CurrentSince Aug 24, 2024 Accepting new patients
Missouri Delta Medical Center CurrentSince Nov 18, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Stem Medical Group, PC CurrentSince Nov 24, 2022 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 PastSince Mar 25, 2022 Accepting new patients
San Antonio Kidney Disease Center Physicians Group, P.L.L.C. Nephrology PastSince Aug 24, 2024 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.