Individual provider Active NPI

Atif Haque, M.D.

  • Neurological Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1144436585
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
N4449 Issued in TX
Practice address
1400 8TH Ave Ste A1131
Fort Worth, TX 76104-4110
Phone
(817) 912-9250
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X N4449 TX Primary

Addresses

Primary practice location

1400 8TH Ave Ste A1131
Fort Worth, TX 76104-4110

Mailing address

1400 8TH Ave Ste A1131
Fort Worth, TX 76104-4110
Phone (817) 912-9250

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahaque460870@direct.sw.org

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
I20100910000617 TX Practitioner - Neurosurgery 3971628140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Mississippi School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2035 Fort Worth Hwy
Suite 100
Weatherford, TX 76086-4783
Phone (817) 594-0496

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion119
Laminectomy or laminotomy (partial removal of spine bones)15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Worth Brain & Spine Institute, LLP Neurological Surgery CurrentSince Jun 13, 2010 Accepting new patients
Healthtexas Provider Network CurrentSince Apr 13, 2020 Accepting new patients
Healthtexas Provider Network CurrentSince Apr 13, 2020 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network Past Accepting new patients
Healthtexas Provider Network PastSince Mar 26, 2023 Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

5701 Bryant Irvin Rd
Ste 304
Fort Worth, TX 76132
Phone (682) 478-8123

1900 Mistletoe Blvd
Ste 200
Ft Worth, TX 76104

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

2035 Fort Worth Hwy
Ste 100
Weatherford, TX 76086
Phone (817) 594-0496

Interoperability endpoints

  • Direct secure messaging: ahaque460870@direct.sw.org
  • Direct secure messaging: ahaque@direct.uspi.com

Organizations & group practices 6

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

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1144436585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 8TH AVE STE A1131",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044110",
            "telephone_number": "817-912-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 8TH AVE STE A1131",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044110",
            "telephone_number": "817-912-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "ATIF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "N4449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahaque460870@direct.sw.org",
            "affiliation": "N",
            "address_1": "1400 8th Ave Fl 1",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761044110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.