Active NPI
Abdu Kadri, MD
- Internal Medicine Physician
- San Antonio, TX
National Provider Identifier
1891789012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J0545
- Practice address
- 3338 Oakwell CT
Ste. 104
San Antonio, TX 78218-3086 - Phone
- (210) 946-6466
- Fax
- (210) 946-0459
- NPI assigned
- Sep 2, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J0545 | TX | Primary |
Addresses
Primary practice location
3338 Oakwell CT
Ste. 104
San Antonio, TX 78218-3086
Mailing address
3338 Oakwell CT
Ste. 104
San Antonio, TX 78218-3086
Phone (210) 946-6466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122168110 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J0545 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NFR Medical, PA | Internal Medicine | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1790702637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1891789012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3338 OAKWELL CT",
"address_2": "STE. 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782183086",
"telephone_number": "210-946-6466",
"fax_number": "210-946-0459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3338 OAKWELL CT",
"address_2": "STE. 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782183086",
"telephone_number": "210-946-6466",
"fax_number": "210-946-0459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADRI",
"first_name": "ABDU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2020-12-07",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J0545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122168110",
"state": "TX"
}
],
"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 Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.