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IYAD K. RADWAN, MD., PA
NPI 1316219512
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Katy, TX

Active since February 02, 2012CLIA 45D2054516 · Waiver
411 PARK GROVE, SUITE #620, KATY, TX 77450(832) 645-4038(832) 675-9861 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Iyad K. Radwan, Md., Pa NPPES

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

IYAD K. RADWAN, MD., PA (NPI 1316219512) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Katy, Texas and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Iyad K Radwan, Physician, as its authorized official.

NPPES Registry Identity

NPI1316219512
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameIYAD K. RADWAN, MD., PA
Location Address411 PARK GROVE, SUITE #620Katy, TX 77450-1576
Mailing AddressPo Box 42453Houston, TX 77242-2453 · (832) 645-4038 · Fax (832) 675-9861
Phone(832) 645-4038
Fax(832) 675-9861
Organization SubpartNo
Authorized OfficialIyad K RadwanPhysician · (832) 645-4038
Enumeration DateFebruary 2, 2012
Last NPPES UpdateMay 5, 2016
✔ NPI 1316219512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in TX · N9481
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License N9481 (TX)
Also ListedGeneral PracticeTaxonomy 208D00000X · License N9481 (TX)
411 PARK GROVE, Katy, TX 77450
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Iyad K. Radwan, Md., Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Iyad K. Radwan, MD., PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Iyad Radwan, M.D.
Thoracic Surgery
NPI 1750673901
411 PARK GROVE SUITE #620
Katy, TX 77450
(832) 645-4038
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2054516

Iyad K Radwan MD, PA · Katy, TX
Active · expires Feb 21, 2027
CLIA Number45D2054516
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorDr. Radwan Iyad
Laboratory Phone(832) 645-4038
Laboratory LocationIyad K Radwan MD, PA411 Park Grove Suite 620, Katy, TX 77450
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iyad K. Radwan, MD., PA's NPI number?

The NPI number for Iyad K. Radwan, MD., PA is 1316219512. It was assigned to this organization in the NPPES registry on February 2, 2012.

Where is Iyad K. Radwan, MD., PA located?

Iyad K. Radwan, MD., PA is located at 411 Park Grove Suite #620, Katy, TX 77450. The listed phone number is (832) 645-4038.

What is Iyad K. Radwan, MD., PA's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Iyad K. Radwan, MD., PA enrolled in Medicare?

Yes. Iyad K. Radwan, MD., PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Iyad K. Radwan, MD., PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Thoracic Surgery) reassigns their Medicare billing to Iyad K. Radwan, MD., PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Iyad K. Radwan, MD., PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2054516) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Iyad K. Radwan, MD., PA was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.