Individual provider Active NPI

Hilal Mahmood Fanasch, MD

  • Hematology & Oncology Physician
  • Nampa, ID
National Provider Identifier
1295857720
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MC-2502 Issued in ID
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

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
122170708MedicaidTX

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
I20040715000666 TX Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - HematologyPractitioner - Medical Oncology 4981690831 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hematology, Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

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 Hospital, Brownwood, TX, CCN 450587
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
  • Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MC-2502IDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Hematology & Oncology CurrentSince Jun 18, 2014 Accepting new patients
Texas Oncology PA Hematology & Oncology CurrentSince Jun 18, 2014 Accepting new patients
Valley View Hospital Association CurrentSince Jun 1, 2020 Accepting new patients
Texas Oncology PA Hematology & Oncology Current Accepting new patients
Hendrick Provider Network Hematology & Oncology CurrentSince Oct 27, 2025 Accepting new patients
Valley View Hospital Association CurrentSince Jun 1, 2020 Accepting new patients
Hendrick Provider Network CurrentSince Oct 27, 2025 Accepting new patients
Triangle Therapeutics PastSince Apr 8, 2002 Accepting new patients
Saint Alphonsus Medical Center Nampa, Inc. PastSince Dec 24, 2023 Accepting new patients
Southeast Texas Hematology and Oncology Center, PA PastSince Oct 1, 2003 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

  • Direct secure messaging: hfanasch3074220@direct.trinity-health.org
  • Direct secure messaging: hilal.fanasch@hca7.eclinicaldirectplus.com
  • Direct secure messaging: hfanasch144912@stormontvaildirect.org
  • Direct secure messaging: fanasch.mahmood@direct.myteamcare.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.