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

Q: 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.

Q: What is Faidah Badru's specialty?

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

Q: 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 10 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.

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: August 09, 2026.

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

On this page

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 14348 Electric RdRoanoke, VA 24018-0720 · Phone (540) 769-0976 · Fax (540) 857-5383

Location 2506 Lenox AveNew York, NY 10037-1802 · Phone (212) 939-1000

Location 39 Richland Medical Park Dr Ste 500Columbia, SC 29203-6870 · Phone (803) 434-4555 · Fax (803) 434-4599

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, and ordering and referring status from the CMS PECOS system.

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.

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)