Active NPI
Maurice S Haddad, MD
- Gastroenterology Physician
- Pasadena, TX
National Provider Identifier
1174512131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- H3065
- Practice address
- 5050 Crenshaw Rd
#200
Pasadena, TX 77505-3139 - Phone
- (281) 998-2488
- Fax
- (281) 998-2482
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | H3065 | TX | Primary |
Addresses
Primary practice location
5050 Crenshaw Rd
#200
Pasadena, TX 77505-3139
Mailing address
5050 Crenshaw Rd
#200
Pasadena, TX 77505-3139
Phone (281) 998-2488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128002602 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5050 Crenshaw
Suite 200
Pasadena, TX 77505-3139
5050 Crenshaw Rd
Pasadena, TX 77505-3139
Phone (281) 998-2488
Hospital & facility affiliations
- St Luke'S Patients Medical Center
- Memorial Hermann Hospital System
- HCA Houston Healthcare Southeast
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 160 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 159 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pasadena Anesthesia PLLC | Past | Accepting new patients |
Interoperability endpoints
- mhaddad468692@direct.stlukeshealth.org
- https://fhir4.healow.com/fhir/r4/JBFJCA/Endpoint/JBFJCA
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Pasadena, TX
- NPI 1538158563
-
- Certified Registered Nurse Anesthetist
- Pasadena, TX
- NPI 1851001424
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pasadena, TX
- NPI 1174576698
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Pasadena, TX
- NPI 1407990088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1174512131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 CRENSHAW RD",
"address_2": "#200",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053139",
"telephone_number": "281-998-2488",
"fax_number": "281-998-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 CRENSHAW RD",
"address_2": "#200",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053139",
"telephone_number": "281-998-2488",
"fax_number": "281-998-2482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "MAURICE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "H3065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128002602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.