Individual provider Active NPI

Russell Mahmudul Huq, MD

  • Emergency Medicine Physician
  • Irving, TX
National Provider Identifier
1336336205
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S3534 Issued in TX
Practice address
800 W Airport Fwy Ste 100
Irving, TX 75062-6206
Phone
(214) 952-6074
NPI assigned
Sep 25, 2007
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 29905 OK
Emergency Medicine Physician 207P00000X 45542 KY
Emergency Medicine Physician 207P00000X S3534 TX Primary
Family Medicine Physician 207Q00000X 2009026103 MO
Family Medicine Physician 207Q00000X BP10030099 TX
Family Medicine Physician 207Q00000X 45542 KY
Family Medicine Physician 207Q00000X 29905 OK

Addresses

Primary practice location

800 W Airport Fwy Ste 100
Irving, TX 75062-6206

Mailing address

440 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-8000

Other practice location 1

2401 W Wrangler Blvd
Seminole, OK 74868-1917
Phone (405) 303-4000

Other practice location 2

3600 Cumberland Ave
Middlesboro, KY 40965-2614
Phone (606) 242-1100

Other practice location 3

11203 Main St
Martin, KY 41649-7999
Phone (606) 285-6400

Other practice location 4

233 S Main St
Licking, MO 65542
Phone (573) 674-3011

Other identifiers 3

IdentifierTypeStateIssuer
1447412770OtherMORH MEDICAID
7100215160MedicaidKY
P01205237OtherKYMEDICARE RAILROAD

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
I20150105000423 TX Practitioner - Emergency Medicine 7214073139 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ess of Crockett, LLCGroup PAC ID 3678942778, 21 clinicians
Ess of Nacogdoches LLCGroup PAC ID 3375821630, 27 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians
City Hospital Physician Group, Inc.Group PAC ID 5193156214, 23 clinicians

Practice addresses (Care Compare)

1100 E Loop
Suite 304
Crockett, TX 75835-1810
Phone (936) 931-3891

1204 N Mound St
Nacogdoches, TX 75961-4027
Phone (936) 564-4611

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

511 W FM
544 Suite 100
Murphy, TX 75094-4630
Phone (214) 294-6150

800 W Airport Fwy
Suite 100
Irving, TX 75062-6206
Phone (214) 952-6074

9440 Poppy Dr
Dallas, TX 75218-3652
Phone (346) 474-6474

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10030099TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Pintado Clinic CurrentSince Dec 19, 2014 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jan 23, 2024 Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients
Rapid City Care PLLC CurrentSince Jun 20, 2021 Accepting new patients
Rapid Emergency Physician Partners Emergency Medicine Current Accepting new patients
Sterling Initiatives Emergency Medicine CurrentSince May 31, 2024 Accepting new patients
Sterling Initiatives Emergency Medicine CurrentSince May 31, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince May 27, 2024 Accepting new patients
City Hospital Physician Group Inc Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Rapid City Healthcare PLLC Current Accepting new patients
Ess of Crockett, LLC Emergency Medicine CurrentSince Dec 10, 2023 Accepting new patients
Thoreau Clinic CurrentSince Dec 19, 2014 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Feb 7, 2021 Accepting new patients
Ess of Nacogdoches LLC Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Navarro Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 27, 2023 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

800 W Airport Fwy
Ste 100
Irving, TX 75062
Phone (214) 699-7173

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21355/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEGADD/Endpoint/EEGADD
  • Direct secure messaging: nhe5984@yourcarecommunity.org
  • Direct secure messaging: russell.huq@txsrch.eclinicaldirectplus.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1336336205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451124",
            "telephone_number": "270-338-8000",
            "fax_number": "270-338-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W AIRPORT FWY STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626206",
            "telephone_number": "214-952-6074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 W Wrangler Blvd",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "OK",
            "postal_code": "748681917",
            "country_code": "US",
            "telephone_number": "405-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Cumberland Ave",
            "address_purpose": "LOCATION",
            "city": "Middlesboro",
            "state": "KY",
            "postal_code": "409652614",
            "country_code": "US",
            "telephone_number": "606-242-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11203 Main St",
            "address_purpose": "LOCATION",
            "city": "Martin",
            "state": "KY",
            "postal_code": "416497999",
            "country_code": "US",
            "telephone_number": "606-285-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 S Main St",
            "address_purpose": "LOCATION",
            "city": "Licking",
            "state": "MO",
            "postal_code": "65542",
            "country_code": "US",
            "telephone_number": "573-674-3011",
            "fax_number": "573-674-4765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUQ",
        "first_name": "RUSSELL",
        "middle_name": "MAHMUDUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "29905",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "45542",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S3534",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2009026103",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10030099",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "45542",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "29905",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RH MEDICAID",
            "identifier": "1447412770",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100215160",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01205237",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.