Selina Moezali Kadiwal, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP143825 Issued in TX

Practice address

1003 Richmond Ave
Houston, TX 77006-5419

Phone

(713) 807-8491

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minuteclinic Diagnostic of Texas PLLCGroup PAC ID 7416039177, 253 clinicians

Nluc PLLCGroup PAC ID 3072752302, 219 clinicians

Next Level MV LLCGroup PAC ID 5991062085, 124 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Minuteclinic Diagnostic of Texas PLLC

  • Family Nurse Practitioner
  • Round Rock, TX
  • NPI 1609076330
  Medicare reassignment Care Compare group NPD
• Next Level MV LLC

  • Urgent Care Clinic/Center
  • Pearland, TX
  • NPI 1013432285
  Medicare reassignment Care Compare group NPD
• Nluc PLLC

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1518209113
  Medicare reassignment Care Compare group NPD
• Minuteclinic Telehealth Services of Texas Association

  • Family Nurse Practitioner
  • Round Rock, TX
  • NPI 1922564301
  Medicare reassignment NPD
• Oncology San Antonio

  • Hematology & Oncology Physician
  • San Antonio, TX
  • NPI 1790180370
  Medicare reassignment NPD
• Minuteclinic Diagnostic of Texas PLLC

  • Clinical Social Worker
  • Katy, TX
  • NPI 1740898188
  NPD
• Next Level MV LLC

  • Urgent Care Clinic/Center
  • Baytown, TX
  • NPI 1073168746
  NPD
• Nluc PLLC

  • Urgent Care Clinic/Center
  • League City, TX
  • NPI 1043814049
  NPD
• Radiation Oncology of San Antonio, PA

  • Specialist
  • San Antonio, TX
  • NPI 1184789232
  NPD (past)

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1841837895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065419",
            "telephone_number": "713-807-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065419",
            "telephone_number": "713-807-8491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19288 Stone Oak Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583222",
            "country_code": "US",
            "telephone_number": "210-490-2707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Baltimore",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782151907",
            "country_code": "US",
            "telephone_number": "210-299-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADIWAL",
        "first_name": "SELINA",
        "middle_name": "MOEZALI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2021-05-17",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehmet Cihan Kadipasaoglu
• Adesola Kadiri
• Lilian Kadiri
• Moriam O Kadiri, PT, DPT
• Zahra Kadivar
• Himabindu Kadiyala, MBBS
• Claudine Salire Kadmon, DO, MPH
• Dov Kadmon, M.D.
• Kadol Adult Independent Living
• Ayesha Kadri

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.