Individual provider Active NPI

Haitham Jifi-Bahlool, MD

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1063447514
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J9719 Issued in TX
Practice address
7326 S Staples St
Corpus Christi, TX 78413-5509
Phone
(361) 991-0112
Fax
(361) 991-0181
NPI assigned
Jul 12, 2006
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J9719 TX Primary

Addresses

Primary practice location

7326 S Staples St
Corpus Christi, TX 78413-5509

Mailing address

7326 S Staples St
Corpus Christi, TX 78413-5509
Phone (361) 991-0112

Other practice location 1

500 Flournoy Rd
Alice, TX 78332-4085
Phone (361) 664-5219

Other identifiers 2

IdentifierTypeStateIssuer
120623711MedicaidTX
TXB125353OtherTXMEDICARE

Other names 1

  • Haitham Jifi MD PA Professional name

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
I20061205000258 TX Practitioner - Internal MedicinePractitioner - General Practice 9830198647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haitham Jifi MD PAGroup PAC ID 4880870435, 6 clinicians

Practice addresses (Care Compare)

7326 S Staples St
Corpus Christi, TX 78413-5509
Phone (361) 813-9337

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trio Hospice Inc Current Accepting new patients
Haitham Jifi MD PA Internal Medicine CurrentSince Apr 21, 2011 Accepting new patients
Trio Home Health-Rural Inc PastSince May 12, 2014 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Reeves County Hospital District Past Accepting new patients
High Plains Radiological Association LLP Past Accepting new patients
Peggy Johnson DO PA Past Accepting new patients
Clayton Health Systems, Inc Past Accepting new patients
Trio Home Health Inc, PastSince Sep 17, 2011 Accepting new patients

Locations

500 Flournoy Rd
Alice, TX 78332
Phone (361) 661-0255

5920 Saratoga Blvd
Ste 420
Corpus Christi, TX 78414
Phone (361) 779-5456

5920 Saratoga Blvd
Ste 480
Corpus Christi, TX 78414
Phone (361) 991-0112

7326 S Staples St
Corpus Christi, TX 78413
Phone (361) 387-0046

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDCEAA/Endpoint/GDCEAA

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trio Home Health Care IncCorpus Christi, TX, CCN 678428 Home health agency 5% Or Greater Indirect Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (60%)
Sep 17, 2011
Sep 17, 2011
Sep 17, 2011
Sep 17, 2011
Trio Hospice IncCorpus Christi, TX, CCN 971570 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
Jul 11, 2014
Jul 11, 2014
Jul 11, 2014

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1063447514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7326 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135509",
            "telephone_number": "361-991-0112",
            "fax_number": "361-991-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7326 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135509",
            "telephone_number": "361-991-0112",
            "fax_number": "361-991-0181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Flournoy Rd",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "783324085",
            "country_code": "US",
            "telephone_number": "361-664-5219",
            "fax_number": "361-664-5249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIFI-BAHLOOL",
        "first_name": "HAITHAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120623711",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB125353",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAITHAM",
            "last_name": "JIFI MD PA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.