Organization Active NPI

Hania Medical Associates PLLC

Doing business as Jk Medical Clinic Los Fresnos

  • Clinic/Center
  • Los Fresnos, TX
National Provider Identifier
1093560856
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HANIA MEDICAL ASSOCIATES PLLC
Doing business as
Jk Medical Clinic Los Fresnos
Practice address
327 W Ocean Blvd
Los Fresnos, TX 78566-3627
Phone
(956) 233-2933
Fax
(956) 433-0160
NPI assigned
Apr 23, 2024
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Kazim HussainNPI 1609842509
Title
Owner
Phone
(956) 455-9229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

327 W Ocean Blvd
Los Fresnos, TX 78566-3627

Mailing address

4550 Sol Rd
Brownsville, TX 78526-9723
Phone (956) 233-2933

Other names 1

  • Jk Medical Clinic Los Fresnos Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240708002236 TX Part B Supplier - Clinic/Group Practice 2365987955 Receives reassigned benefits from 8 practitioners
Practice locations: Los Fresnos, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2317591Hania Medical Associates327 W Ocean Blvd, Los Fresnos, TX 78566AccreditationFeb 16, 2028

National Provider Directory

National Provider Directory

Locations

327 W Ocean Blvd
Los Fresnos, TX 78566
Phone (956) 233-2933

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1093560856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 SOL RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785269723",
            "telephone_number": "956-233-2933",
            "fax_number": "956-433-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 W OCEAN BLVD",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663627",
            "telephone_number": "956-233-2933",
            "fax_number": "956-433-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANIA MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "KAZIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-455-9229"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jk Medical Clinic Los Fresnos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Fresnos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.