Organization Active NPI

Round Table Specialist Group, PLLC

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1497152268
Registry record updated Nov 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
ROUND TABLE SPECIALIST GROUP, PLLC
Practice address
8910 Highway 6 S
Houston, TX 77083-6339
Phone
(832) 429-8027
NPI assigned
Nov 22, 2014
Last updated
Nov 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2014

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

Authorized official

Name
Dr. Hashibul Hannan, M.D.
Title
Owner
Phone
(832) 429-8027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

8910 Highway 6 S
Houston, TX 77083-6339

Mailing address

8910 Highway 6 S
Houston, TX 77083-6339
Phone (832) 429-8027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200702000716 TX Part B Supplier - Clinic/Group Practice 1254754609 Receives reassigned benefits from 44 practitioners
Practice locations: Frisco, TX; Texarkana, TX; Odessa, TX; Killeen, TX; Midland, TX; College Station, TX

National Provider Directory

National Provider Directory

Locations

1512 Texas Ave S
Ste 500
College Station, TX 77840
Phone (979) 213-5728

11103 Westheimer Rd
#C
Houston, TX 77042

5003 Cypress Creek Pkwy
#1960
Houston, TX 77069

5003 FM 1960 Rd W
Houston, TX 77069
Phone (281) 213-5444

5324 Atascocita Rd
Ste To
Humble, TX 77346
Phone (832) 429-8027

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

1596 W Main St
Lewisville, TX 75067
Phone (469) 312-3660

2731 N Grandview Ave
Odessa, TX 79762
Phone (432) 366-0945

Practitioners & affiliated clinicians

Practitioners 226

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 226

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416614400000",
    "number": "1497152268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 HIGHWAY 6 S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836339",
            "telephone_number": "832-429-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 HIGHWAY 6 S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836339",
            "telephone_number": "832-429-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUND TABLE SPECIALIST GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-22",
        "last_updated": "2014-11-22",
        "status": "A",
        "authorized_official_last_name": "HANNAN",
        "authorized_official_first_name": "HASHIBUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-429-8027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.