Individual provider Active NPI

Amy Leigh-Ann Haase, DPM

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1366485286
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1746 Issued in TX
Practice address
1740 W 27TH St
Suite 110
Houston, TX 77008-1440
Phone
(713) 862-3338
Fax
(713) 862-8328
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1746 TX Primary

Addresses

Primary practice location

1740 W 27TH St
Suite 110
Houston, TX 77008-1440

Mailing address

1740 W 27TH St
Suite 110
Houston, TX 77008-1440
Phone (713) 862-3338

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050909000480 TX Practitioner - Podiatry 0345272431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Foot SpecialistsGroup PAC ID 8921167065, 2 clinicians

Practice addresses (Care Compare)

3201 University Dr E
Suite 100
Bryan, TX 77802-3476
Phone (979) 774-3668

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Physicians Centre,the Hospital, Bryan, TX, CCN 450834

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue231
Removal or shaving of skin growth102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1746TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Foot Specialists Foot & Ankle Surgery CurrentSince Oct 1, 2006 Accepting new patients
Diagnostic Foot Specialists Foot & Ankle Surgery CurrentSince Oct 1, 2006 Accepting new patients
Robert Neville & Associates PA Foot & Ankle Surgery Past Accepting new patients

Locations

3201 University Dr E
Ste 100
Bryan, TX 77802
Phone (979) 774-3668

10929 Katy Fwy
Houston, TX 77079
Phone (281) 201-8620

3100 Weslayan St
Ste 372
Houston, TX 77027
Phone (713) 627-7000

1740 W 27th St
Ste 110
Houston, TX 77008
Phone (713) 862-3338

2710 Hospital Dr
Ste 115
Victoria, TX 77901
Phone (361) 575-5222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBDBCD

Organizations & group practices 3

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 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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1366485286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST",
            "address_2": "SUITE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081440",
            "telephone_number": "713-862-3338",
            "fax_number": "713-862-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST",
            "address_2": "SUITE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081440",
            "telephone_number": "713-862-3338",
            "fax_number": "713-862-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAASE",
        "first_name": "AMY",
        "middle_name": "LEIGH-ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.