Christina Souheil Haddad

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

T0223 Issued in TX

Practice address

5050 Crenshaw Rd Ste 100
Pasadena, TX 77505-3139

Phone

(832) 399-4130

Fax

(832) 399-4131

NPI assigned

Apr 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

University of Texas Medical Branch at Galveston, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Premier Health Care Group PLLCGroup PAC ID 1557318680, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Promed Home Care Home health agency, Houston, TX, CCN 459479
• Vantage Hospice Hospice, Houston, TX, CCN 671680
• St Luke'S Patients Medical Center Hospital, Pasadena, TX, CCN 670031
• HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097
• HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chaddad469907@direct.stlukeshealth.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/57555142-fd4d-44f9-b414-6223f59f4079/

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.

• Premier Health Care Group PLLC

  • Multi-Specialty Clinic/Center
  • Pasadena, TX
  • NPI 1174511513

  Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca Bayshore LP

  • General Acute Care Hospital
  • Pasadena, TX
  • NPI 1174576698
  Care Compare affiliation
• Chca Clear Lake LP

  • General Acute Care Hospital
  • Webster, TX
  • NPI 1063466035
  Care Compare affiliation
• PMC Hospital, LLC

  • General Acute Care Hospital
  • Pasadena, TX
  • NPI 1407990088
  Care Compare affiliation
• Promed Personnel Services, Inc.

  • Home Health Agency
  • Houston, TX
  • NPI 1639175193
  Care Compare affiliation
• Vantage Hospice, LLC

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1962785782
  Care Compare affiliation

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1205490141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 CRENSHAW RD STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053139",
            "telephone_number": "832-399-4130",
            "fax_number": "832-399-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 CRENSHAW RD STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053139",
            "telephone_number": "832-399-4130",
            "fax_number": "832-399-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "CHRISTINA",
        "middle_name": "SOUHEIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T0223",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Julissa Gutierrez
• Janney Gonzalez Gutierrez, FNP-C
• Jose Javier Guzman Diaz, MD
• H-E-B, LP
• H&R Integral Health Care LLC
• Maurice S Haddad, MD
• Peter Souheil Haddad, M.D.
• Haesly Retail Services, Inc.
• Kenneth Haesly
• Haala Hai, D.O

• Internal Medicine Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.

Verify at the official NPI Registry.