NPIMap

Individual provider Active NPI

Haider Afzal, MD

  • Family Medicine Physician
  • Baytown, TX
National Provider Identifier
1083621023
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M3842 Issued in TX
Practice address
1690 W Baker Rd
Ste B
Baytown, TX 77521-2416
Phone
(281) 428-8203
Fax
(281) 428-0624
NPI assigned
Aug 2, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M3842 TX Primary

Addresses

Primary practice location

1690 W Baker Rd
Ste B
Baytown, TX 77521-2416

Mailing address

1690 W Baker Rd
Ste B
Baytown, TX 77521-2416
Phone (281) 428-8203

Other identifiers 2

IdentifierTypeStateIssuer
8W2020OtherTXBCBSTX
181627402MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060908000425 TX Practitioner - Family Practice 7517961378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haider Afzal MD PAGroup PAC ID 3577694496, 3 clinicians

Practice addresses (Care Compare)

15119 Wallisville Rd
700 Eastside Family Clinic
Houston, TX 77049-4631
Phone (832) 538-0243

1690 W Baker Rd
Suite B
Baytown, TX 77521-2416

1690 W Baker Rd B
Baytown Family Clinic
Baytown, TX 77521-2416
Phone (281) 428-8203

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3842TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excellence Speciality Clinic PLLC Current Accepting new patients
Haider Afzal MD PA Family Medicine CurrentSince Mar 1, 2010 Accepting new patients

Locations

1113 W Baker Rd
Baytown, TX 77521
Phone (281) 201-8243

1690 W Baker Rd
Ste B
Baytown, TX 77521
Phone (281) 428-8203

15119 Wallisville Rd
Ste 700
Houston, TX 77049
Phone (832) 205-2456

Interoperability endpoints

  • Direct secure messaging: haiderafzal@hamp-tx.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Fortune Healthcare, Inc.Houston, TX, CCN 741533 Hospice Contracted Managing Employee Nov 18, 2018

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 5

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 6

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083621023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 W BAKER RD",
            "address_2": "STE B",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212416",
            "telephone_number": "281-428-8203",
            "fax_number": "281-428-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 W BAKER RD",
            "address_2": "STE B",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212416",
            "telephone_number": "281-428-8203",
            "fax_number": "281-428-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFZAL",
        "first_name": "HAIDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8W2020",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181627402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.