NPIMap

Individual provider Active NPI

Baher M Elhalwagi, MD

  • Pulmonary Disease Physician
  • Longview, TX
National Provider Identifier
1235116393
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
K2456 Issued in TX
Practice address
703 E Marshall Ave Ste 3008
Longview, TX 75601-5500
Phone
(903) 315-2740
Fax
(903) 315-2742
NPI assigned
Dec 29, 2005
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X K2456 TX Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X K2456 TX

Addresses

Primary practice location

703 E Marshall Ave Ste 3008
Longview, TX 75601-5500

Mailing address

703 E Marshall Ave
Ste 3008
Longview, TX 75601-5500
Phone (903) 315-2740

Other identifiers 1

IdentifierTypeStateIssuer
122034502MedicaidTX

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
I20070518000437 TX Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8325145709 Reassigns benefits to 3 organizations
Practice locations: Mt Pleasant, TX

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Texas Intensivists, PLLCGroup PAC ID 5092167528, 48 clinicians
East Texas Pulmonary Associates of Longview, PLLCGroup PAC ID 2961684394, 2 clinicians

Practice addresses (Care Compare)

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

703 E Marshall Ave
Suite 3008
Longview, TX 75601-5500
Phone (903) 315-2740

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Sleep Medicine CurrentSince Nov 30, 2020 Accepting new patients
East Texas Pulmonary Associates of Longview, PLLC Pulmonary Disease CurrentSince Jul 1, 1999 Accepting new patients
Northeast Texas Intensivists, PLLC CurrentSince Apr 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 30, 2020 Accepting new patients
Baher Elhalwagi, MD, PA Pulmonary Disease PastSince Jan 1, 1990 Accepting new patients

Locations

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

703 E Marshall Ave
Ste 3008
Longview, TX 75601
Phone (903) 236-2740

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

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 3

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1235116393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E MARSHALL AVE",
            "address_2": "STE 3008",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015500",
            "telephone_number": "903-315-2740",
            "fax_number": "903-315-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MARSHALL AVE STE 3008",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015500",
            "telephone_number": "903-315-2740",
            "fax_number": "903-315-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHALWAGI",
        "first_name": "BAHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K2456",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "K2456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122034502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.