Individual provider Active NPI

Syed Fahim Ul Hassan, M.D.

  • Nephrology Physician
  • Galveston, TX
National Provider Identifier
1063638989
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
P7457 Issued in TX
Practice address
1005 Harborside Dr FL 6
Galveston, TX 77555-7410
Phone
(409) 772-0750
Fax
(409) 772-5052
NPI assigned
Apr 18, 2007
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 8144 ND
Nephrology Physician 207RN0300X P7457 TX Primary

Addresses

Primary practice location

1005 Harborside Dr FL 6
Galveston, TX 77555-7410

Mailing address

542 Cottonwood Loop
Bismarck, ND 58504-7410
Phone (701) 258-0712

Other practice location 1

542 Cottonwood Loop
Bismarck, ND 58504-7410
Phone (701) 258-0712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130926000151 ND Practitioner - NephrologyPractitioner - Internal Medicine 7416191739 Reassigns benefits to 1 organization
I20140117000360 TX Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Infectious Disease 7416191739 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

1005 Harborside Dr FL
Suite 6
Galveston, TX 77555-0001
Phone (409) 772-0122

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Jan 20, 2017 Accepting new patients
Concord Medical Group PLLC CurrentSince Apr 19, 2016 Accepting new patients
Nephrology and Hypertension Specialists PA Nephrology CurrentSince Aug 1, 2019 Accepting new patients
St. Alexius Medical Center CurrentSince Jan 20, 2017 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Jun 25, 2016 Accepting new patients
Baylor College of Medicine CurrentSince Nov 19, 2016 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Apr 19, 2016 Accepting new patients
Baylor College of Medicine CurrentSince Nov 19, 2016 Accepting new patients
TMC Physicians CurrentSince Oct 1, 2013 Accepting new patients
Utmb Faculty Group Practice CurrentSince Nov 19, 2024 Accepting new patients
Nephrology and Hypertension Specialists PA Nephrology CurrentSince Oct 25, 2020 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

1642 W Baker Rd
Ste B
Baytown, TX 77521
Phone (281) 422-3000

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1005 Harborside Dr
Galveston, TX 77555
Phone (409) 772-0122

1005 Harborside Dr
Fl 6
Galveston, TX 77555

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

10019 Main St
Ste A1
Houston, TX 77025
Phone (713) 666-7000

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 9
Houston, TX 77030
Phone (713) 798-2273

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

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

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Interoperability endpoints

  • Direct secure messaging: shassan62150@direct.utmb.edu

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1063638989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 COTTONWOOD LOOP",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585047410",
            "telephone_number": "701-258-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HARBORSIDE DR FL 6",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775557410",
            "telephone_number": "409-772-0750",
            "fax_number": "409-772-5052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542 Cottonwood Loop",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585047410",
            "country_code": "US",
            "telephone_number": "701-258-0712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "SYED",
        "middle_name": "FAHIM UL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ND",
            "license": "8144",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P7457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.