Active NPI
Hilal Mahmood Fanasch, MD
- Hematology & Oncology Physician
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MC-2502
- Practice address
- 4400 E Flamingo Ave Ste 130
Nampa, ID 83687-9203 - Phone
- (208) 205-0350
- Fax
- (208) 205-0356
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 04-49199 | KS | |
| Hematology & Oncology Physician | 207RH0003X | MC-2502 | ID | Primary |
| Hematology & Oncology Physician | 207RH0003X | K1430 | TX | |
| Hematology & Oncology Physician | 207RH0003X | CDRH.0061344 | CO |
Addresses
Primary practice location
4400 E Flamingo Ave Ste 130
Nampa, ID 83687-9203
Mailing address
7750 S Broadway
Littleton, CO 80122-2623
Phone (303) 734-2090
Other practice location 1
7750 S Broadway
Littleton, CO 80122-2623
Phone (303) 734-2090
Other practice location 2
1195 Garner Field Rd Ste 200
Uvalde, TX 78801-4822
Phone (830) 278-6200
Other practice location 3
602 Indiana Ave
Southwest Cancer Center
Lubbock, TX 79415-3364
Phone (806) 775-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122170708 | 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
- Hematology/Oncology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Harborside Dr
Suite 1.230
Galveston, TX 77555-0001
Phone (409) 772-2534
1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (325) 649-5000
Hospital & facility affiliations
- Hendrick Medical Center Brownwood
- University of Texas Medical Branch Galveston
- Stormont Vail Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC-2502 | ID | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Valley View Hospital Association | Current | Accepting new patients | |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Hendrick Provider Network | Hematology & Oncology | Current | Accepting new patients |
| Valley View Hospital Association | Current | Accepting new patients | |
| Hendrick Provider Network | Current | Accepting new patients | |
| Triangle Therapeutics | Past | Accepting new patients | |
| Saint Alphonsus Medical Center Nampa, Inc. | Past | Accepting new patients | |
| Southeast Texas Hematology and Oncology Center, PA | Past | Accepting new patients |
Locations
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
2001 N Horseshoe Trl
Silt, CO 81652
Phone (970) 876-5700
1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020
1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541
4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102
5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300
2000 Scenic Dr
Ste G2
Georgetown, TX 78626
Phone (512) 531-5200
3601 4th St
Stop 9410
Lubbock, TX 79430
Phone (806) 743-3155
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
Interoperability endpoints
- hfanasch3074220@direct.trinity-health.org
- hilal.fanasch@hca7.eclinicaldirectplus.com
- hfanasch144912@stormontvaildirect.org
- fanasch.mahmood@direct.myteamcare.com
- hilah.fanasch.p1@direct.houstoncancer.nextgenshare.com
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Abilene, TX
- NPI 1396961322
Hematology & Oncology
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
- Specialist
- Port Arthur, TX
- NPI 1598749491
-
- Rural Health Clinic/Center
- San Saba, TX
- NPI 1346044401
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Carbondale, CO
- NPI 1457235202
-
- Hospitalist Physician
- Glenwood SPGS, CO
- NPI 1619118064
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
-
- Specialist
- Port Arthur, TX
- NPI 1619995651
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brownwood, TX
- NPI 1184233785
-
- General Acute Care Hospital
- Topeka, KS
- NPI 1194782409
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1295857720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7750 S BROADWAY",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801222623",
"telephone_number": "303-734-2090",
"fax_number": "303-734-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 E FLAMINGO AVE STE 130",
"city": "NAMPA",
"state": "ID",
"postal_code": "836879203",
"telephone_number": "208-205-0350",
"fax_number": "208-205-0356"
}
],
"practiceLocations": [
{
"address_1": "7750 S Broadway",
"address_purpose": "LOCATION",
"city": "Littleton",
"state": "CO",
"postal_code": "801222623",
"country_code": "US",
"telephone_number": "303-734-2090",
"fax_number": "303-734-2095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1195 Garner Field Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Uvalde",
"state": "TX",
"postal_code": "788014822",
"country_code": "US",
"telephone_number": "830-278-6200",
"fax_number": "830-278-3359",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "602 Indiana Ave",
"address_2": "Southwest Cancer Center",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794153364",
"country_code": "US",
"telephone_number": "806-775-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANASCH",
"first_name": "HILAL",
"middle_name": "MAHMOOD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KS",
"license": "04-49199",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "ID",
"license": "MC-2502",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "K1430",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CO",
"license": "CDRH.0061344",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122170708",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.