WALEED OMAR BADOGHAISH M.D.
NPI 1083059257
Student in an Organized Health Care Education/Training Program in Amarillo, TX

Active since May 01, 2013PECOS Enrolled
1400 S COULTER ST, UNIT MANAGER FOR GME, TTUHSC, AMARILLO, TX 79106(806) 354-5417(806) 351-3787 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Waleed Omar Badoghaish M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALEED OMAR BADOGHAISH M.D. (NPI 1083059257) is an individual student in an organized health care education/training program in Amarillo, Texas, licensed in Foreign Country (1002215125) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083059257
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWALEED OMAR BADOGHAISHCredential: M.D.
Location Address1400 S COULTER ST, UNIT MANAGER FOR GME, TTUHSCAmarillo, TX 79106-1786
Mailing Address3800 Reservoir Rd, Nw, Internal Medicine /gastroenterologyWashington, DC 20007 · (202) 444-4034 · Fax (202) 444-7797
Fax(806) 351-3787
Sole ProprietorNo
Enumeration DateMay 1, 2013
Last NPPES UpdateSeptember 13, 2018
NPI 1083059257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in ZZ · 1002215125
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 S COULTER ST, Amarillo, TX 79106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Waleed Omar Badoghaish M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
1400 S COULTER ST
AMARILLO, TX 79106
Internal Medicine (Pulmonary Disease)
1400 S COULTER ST
AMARILLO, TX 79106
Pediatrics (Neonatal-Perinatal Medicine)
1400 S COULTER ST
AMARILLO, TX 79106
Surgery
1400 S COULTER ST
AMARILLO, TX 79106
Pediatrics (Adolescent Medicine)
1400 S COULTER ST
AMARILLO, TX 79106
Obstetrics & Gynecology (Gynecologic Oncology)
1400 S COULTER ST
AMARILLO, TX 79106
Nurse Practitioner (Pediatrics)
1400 S COULTER ST
AMARILLO, TX 79106
Pharmacist
1400 S COULTER ST
AMARILLO, TX 79106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083059257, enumerated as an "individual" on May 01, 2013.

The provider is located at 1400 S COULTER ST UNIT MANAGER FOR GME, TTUHSC AMARILLO, TX 79106 and the phone number is (806) 354-5417.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.