Individual provider Active NPI

Ammar Ansarul Haque, M.D.

  • Nephrology Physician
  • Dallas, TX
National Provider Identifier
1487859823
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
P4060 Issued in TX
Practice address
3571 W Wheatland Rd
Suite 101
Dallas, TX 75237-3461
Phone
(972) 274-5555
Fax
(972) 274-5563
NPI assigned
Jun 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P4060 TX
Nephrology Physician 207RN0300X P4060 TX Primary

Addresses

Primary practice location

3571 W Wheatland Rd
Suite 101
Dallas, TX 75237-3461

Mailing address

3571 W Wheatland Rd
Suite 101
Dallas, TX 75237-3461
Phone (972) 274-5555

Other identifiers 1

IdentifierTypeStateIssuer
3081408-03MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahaque225792@direct.sw.org

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
I20121018000168 TX Practitioner - NephrologyPractitioner - Internal Medicine 9830349331 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Renal Group, P.a.Group PAC ID 0244277283, 52 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1222 N Bishop Ave
Suite 500
Dallas, TX 75208-1478
Phone (972) 274-5555

2400 N I
Suite 35
Waxahachie, TX 75165-5240
Phone (817) 922-1770

2460 N Ih 35E
100 Baylor Scott and White
Waxahachie, TX 75165-5267
Phone (469) 800-9500

4001 Worth St
Dallas, TX 75246-1608

7999 W Virginia Dr
Suite a
Dallas, TX 75237-3845
Phone (888) 616-6322

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 1, 2018 Accepting new patients
Dallas Renal Group PA Nephrology CurrentSince Jul 1, 2013 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Healthtexas Provider Network CurrentSince Nov 1, 2018 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

1222 N Bishop Ave
Ste 500
Dallas, TX 75208
Phone (972) 274-5555

3571 W Wheatland Rd
#101
Dallas, TX 75237
Phone (972) 274-5555

700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

1441 S Midlothian Pkwy
Ste 100A
Midlothian, TX 76065
Phone (469) 800-9440

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHCAD
  • Direct secure messaging: ahaque225792@direct.sw.org
  • Direct secure messaging: ammar.haque@drg.eclinicaldirectplus.com

Organizations & group practices 5

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 4

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": "1181952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1487859823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3571 W WHEATLAND RD",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373461",
            "telephone_number": "972-274-5555",
            "fax_number": "972-274-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 W WHEATLAND RD",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373461",
            "telephone_number": "972-274-5555",
            "fax_number": "972-274-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "AMMAR",
        "middle_name": "ANSARUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-16",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P4060",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P4060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081408-03",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahaque225792@direct.sw.org",
            "affiliation": "N",
            "address_1": "2400 N I 35",
            "city": "Waxahachie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751655240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.