Active NPI
Mahfuzul Haque, MD
- Gastroenterology Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 200300110
- Practice address
- 1800 W 5TH St
Suite 5
Greenville, NC 27834-2888 - Phone
- (252) 744-2207
- Fax
- (252) 744-1115
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 200300110 | NC | Primary |
Addresses
Primary practice location
1800 W 5TH St
Suite 5
Greenville, NC 27834-2888
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Phone (252) 744-3253
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00013007 | Other | NC | RAILROAD MEDICARE |
| 1330E | Other | NC | BCBS NC |
| 891330E | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Wake Forest Rd
Suite 310
Raleigh, NC 27609-7317
Phone (919) 620-4855
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 21 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| East Carolina University | Past | Accepting new patients | |
| East Carolina University | Past | Accepting new patients |
Locations
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
249 E NC Highway 54
Ste 210
Durham, NC 27713
Phone (919) 544-4887
10207 Cerny St
Ste 200
Raleigh, NC 27617
Phone (919) 385-7675
3300 Executive Dr
Ste 101
Raleigh, NC 27609
Phone (919) 862-5075
3480 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 862-5075
3480 Wake Forest Rd
Ste 500
Raleigh, NC 27609
Phone (919) 684-6437
Interoperability endpoints
- mhaque13472@direct.medicine.duke.edu
Organizations & group practices 3
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Nephrology Physician
- Greenville, NC
- NPI 1023068392
-
- Obstetrics & Gynecology Physician
- Greenville, NC
- NPI 1528016938
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1871592113
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269993600000",
"number": "1063404911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069",
"telephone_number": "252-744-3253",
"fax_number": "252-744-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W 5TH ST",
"address_2": "SUITE 5",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342888",
"telephone_number": "252-744-2207",
"fax_number": "252-744-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAQUE",
"first_name": "MAHFUZUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2010-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "200300110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00013007",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "1330E",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891330E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.