Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Wissam Edward Nadra, M.D.
Pediatrics Physician in Denver, NC · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1154318350
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Registry record
Entity type Individual (Type 1)
Name Wissam Edward Nadra
Credential M.D.
Sex Male
Practice address 275 N. Hwy 16. Suite: 103, Lakeshore Pediatric Center, Denver, NC, 28037
Phone (704) 489-8401
Fax (704) 489-8404
Enumeration date Oct 3, 2005
Last updated in NPPES Mar 7, 2023
Taxonomy & licenses
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 2000-00103 (NC) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89126ER | Medicaid | NC | - |
| 5950140 | Medicaid | NC | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Wissam Nadra?
Wissam Nadra is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.