NPIMap

Individual provider Active NPI

Hussain Haideri, M.D.

  • Nephrology Physician
  • Mount Pleasant, TX
National Provider Identifier
1063470052
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
R6409 Issued in TX
Practice address
2001 N Jefferson Ave
Mt Pleasant, TX 75455-2338
Phone
(903) 577-6000
NPI assigned
May 2, 2006
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X R6409 TX Primary
Nephrology Physician 207RN0300X 114014 MO
Nephrology Physician 207RN0300X 0430705 KS
Hospitalist Physician 208M00000X R6409 TX

Addresses

Primary practice location

2001 N Jefferson Ave
Mt Pleasant, TX 75455-2338

Mailing address

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338

Other identifiers 3

IdentifierTypeStateIssuer
200357900AMedicaidKS
100216770CMedicaidKS
200357900DMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040921001105 KS Practitioner - NephrologyPractitioner - Internal Medicine 2365410941 Reassigns benefits to 2 organizations
I20190321001610 TX Practitioner - Internal Medicine 2365410941 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Titus County Hospital DistrictGroup PAC ID 0143203257, 107 clinicians
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians
City Hospital Physician Group, Inc.Group PAC ID 5193156214, 23 clinicians

Practice addresses (Care Compare)

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000

3201 S Loop
Suite 256
Palestine, TX 75801-6901
Phone (903) 723-5020

9440 Poppy Dr
Dallas, TX 75218-3652
Phone (346) 474-6474

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0430705KSMDNephrology Physician
R6409TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Titus County Hospital District CurrentSince Dec 5, 2018 Accepting new patients
City Hospital Physician Group Inc Nephrology CurrentSince Sep 1, 2025 Accepting new patients
Titus County Hospital District CurrentSince Dec 5, 2018 Accepting new patients
Northwest Health Services Inc Past Accepting new patients
Windcreek Dialysis LLC Past Accepting new patients

Locations

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044

Interoperability endpoints

  • Direct secure messaging: hussain.haideri.1@13957.direct.athenahealth.com
  • Direct secure messaging: hussainhaideri@smgks.allscriptsdirect.net

Organizations & group practices 9

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1063470052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-577-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDERI",
        "first_name": "HUSSAIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "R6409",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "114014",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "0430705",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R6409",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200357900A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100216770C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200357900D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.