Individual provider Active NPI

Faisal E Haq, M.D.

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1023044658
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M2637 Issued in TX
Practice address
2801 Lemmon Ave Ste 400
Dallas, TX 75204-2399
Phone
(214) 754-0000
Fax
(214) 379-1849
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X M2637 TX Primary

Addresses

Primary practice location

2801 Lemmon Ave Ste 400
Dallas, TX 75204-2399

Mailing address

3060 Communications Pkwy
Ste 205
Plano, TX 75093-1629
Phone (214) 754-0000

Other identifiers 1

IdentifierTypeStateIssuer
193805201MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fhaq@keywhitman.imwdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060131000789 TX Practitioner - Ophthalmology 6800800665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JW Eye Associates, PLLCGroup PAC ID 6305828567, 35 clinicians

Practice addresses (Care Compare)

3060 Communications Pkwy
Plano, TX 75093-8449
Phone (214) 754-0000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
JW Eye Associates, PLLC Ophthalmology CurrentSince Feb 1, 2006 Accepting new patients
JW Eye Associates, PLLC Ophthalmology Current Accepting new patients

Locations

910 N Davis Dr
Ste 400
Arlington, TX 76012
Phone (817) 461-0199

2801 Lemmon Ave
Ste 400
Dallas, TX 75204
Phone (214) 303-1033

11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937

11445 Dallas Pkwy
Ste 290
Frisco, TX 75033

3060 Communications Pkwy
Ste 205
Plano, TX 75093
Phone (972) 769-2020

Interoperability endpoints

  • Direct secure messaging: fhaq@kwec.intellechartdirect.net
  • Direct secure messaging: fhaq457907@direct.sw.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1023044658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY",
            "address_2": "STE 205",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931629",
            "telephone_number": "214-754-0000",
            "fax_number": "214-379-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042399",
            "telephone_number": "214-754-0000",
            "fax_number": "214-379-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQ",
        "first_name": "FAISAL",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M2637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193805201",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fhaq@keywhitman.imwdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11442 N Central Expy",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752436602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.