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DR. FAIDAH O BADRU MD
NPI 1740613629
Surgery - Pediatric Surgery in Lubbock, TX

Active since August 15, 2013PECOS Enrolled
4102 22ND PL, LUBBOCK, TX 79410(806) 725-0237(806) 725-1030 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2025, May 1, 2023 (2 updates tracked since 2023).

About Dr. Faidah O Badru Md NPPES

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

DR. FAIDAH O BADRU MD (NPI 1740613629) is an individual pediatric surgery provider in Lubbock, Texas, licensed in Texas (W0362) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1740613629
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameDR. FAIDAH O BADRUCredential: MD
Location Address4102 22ND PLLubbock, TX 79410-1122
Mailing Address2215 Nashville AveLubbock, TX 79410-1105 · (806) 725-5228 · Fax (806) 723-6532
Phone(806) 725-0237
Fax(806) 725-1030
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 15, 2013
Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1740613629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in TX · W0362✔ Licensed in SC · 94191
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License 1828418 (MO), 0101277902 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4102 22ND PL, Lubbock, TX 79410
Open in Google Maps ↗

Secondary Practice Locations 3

Location 19 Richland Medical Park Dr Ste 500Columbia, SC 29203-6870 · Phone (803) 434-4555 · Fax (803) 434-4599
Location 2506 Lenox AveNew York, NY 10037-1802 · Phone (212) 939-1000
Location 34348 Electric RdRoanoke, VA 24018-0720 · Phone (540) 769-0976 · Fax (540) 857-5383

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, BlueCross BlueShield of South Carolina, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Faidah O Badru Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496057879
PECOS Enrollment IDI20250930000169
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Faidah Badru reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Covenant Medical Group
0.2 mi
Family Medicine
2215 NASHVILLE AVE
Lubbock, TX 79410
  • Reassigned Medicare billing, Texas enrollment
  • 309 clinicians in this Medicare group
NPI 1376598904 (806) 725-4800
Charleston Area Medical Center, Inc.
1,180 mi
General Acute Care Hospital
501 MORRIS ST
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1124248752 (304) 388-3939
Prisma Health Medical Group-Midlands
1,191 mi
Interventional Cardiology
300 PALMETTO HEALTH PKWY STE 400
Columbia, SC 29212
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,466 clinicians in this Medicare group
NPI 1003307166 (803) 765-0871
The Nemours Foundation
1,208 mi
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Delaware enrollment
  • 526 clinicians in this Medicare group
NPI 1265585806 (904) 697-3600

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

Other Providers at the Same Location NPPES 16

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

MONJA L PROCTOR MD
Surgery (Pediatric Surgery)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-0237
CHEYENNE BAILEY DUNCAN APRN
Nurse Practitioner (Pediatrics)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-6000
SHERRY MICHELLE LANDSMAN FNP-C
Nurse Practitioner (Family)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-0237
KIRA COUSATTE NNP-BC
Nurse Practitioner (Neonatal)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-0237
DR. MONICA RELVAS M.D.
Pediatrics (Pediatric Critical Care Medicine)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-0237
DR. AHMAD ZAGHAL M.D.
Surgery (Pediatric Surgery)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-0237
SHERRI DIANE CAUDILL FNP
Nurse Practitioner (Family)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-0237
SIERRA DANIELLE HENRY
Nurse Practitioner (Pediatrics)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-0237

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 Faidah Badru's NPI number?

The NPI number for Faidah Badru is 1740613629. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Where is Faidah Badru located?

Faidah Badru practices at 4102 22nd Pl, Lubbock, TX 79410. The listed phone number is (806) 725-0237.

What is Faidah Badru's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Faidah Badru enrolled in Medicare?

Yes. Faidah Badru is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Faidah Badru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Faidah Badru reassigns Medicare benefits to 4 organizations: Covenant Medical Group (Lubbock, TX), Charleston Area Medical Center, Inc. (Charleston, WV), Prisma Health Medical Group-Midlands (Columbia, SC) and The Nemours Foundation (Jacksonville, FL). Each 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 Faidah Badru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Faidah Badru accept?

Health plans from Baylor Scott and White Health Plan, BlueCross BlueShield of South Carolina, CareSource and UnitedHealthcare list Faidah Badru as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Faidah Badru was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.