Individual provider Active NPI

Mohamed M Haq, MD

  • Hematology & Oncology Physician
  • Houston, TX
National Provider Identifier
1326011347
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
F5223 Issued in TX
Practice address
11950 Old Galveston Rd
Suite 102
Houston, TX 77034-4856
Phone
(713) 947-2142
Fax
(832) 456-6605
NPI assigned
Feb 9, 2006
Last updated
Oct 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X F5223 TX Primary

Addresses

Primary practice location

11950 Old Galveston Rd
Suite 102
Houston, TX 77034-4856

Mailing address

11950 Old Galveston Rd
Suite 102
Houston, TX 77034-4856
Phone (713) 947-2142

Other identifiers 1

IdentifierTypeStateIssuer
115495701MedicaidTX

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
I20040415000360 TX Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 4587659073 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11950 Old Galveston Rd
Suite 102
Houston, TX 77034-4856
Phone (713) 947-2142

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Lake Oncology PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mhaq468699@direct.stlukeshealth.org

Organizations & group practices 1

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 7

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1326011347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 OLD GALVESTON RD",
            "address_2": "SUITE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344856",
            "telephone_number": "713-947-2142",
            "fax_number": "832-456-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 OLD GALVESTON RD",
            "address_2": "SUITE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344856",
            "telephone_number": "713-947-2142",
            "fax_number": "832-456-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQ",
        "first_name": "MOHAMED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "F5223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115495701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.