Organization Active NPI

Emerald Medical Ny PC

  • General Practice Physician
  • Austin, TX
National Provider Identifier
1508605973
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EMERALD MEDICAL NY PC
Practice address
5209 Burnet Rd Unit 300
Austin, TX 78756-2443
Phone
(855) 422-3855
NPI assigned
May 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Saba Haq, MDNPI 1669460085
Title
Ao
Phone
(949) 463-0650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5209 Burnet Rd Unit 300
Austin, TX 78756-2443

Mailing address

5209 Burnet Rd Unit 300
Austin, TX 78756-2443

Other names 2

  • Everly Provider Group NY Doing business as
  • EMERALD MEDICAL NY PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251205002302 NY Part B Supplier - Clinic/Group Practice 0941749782 Receives reassigned benefits from 2 practitioners
Practice locations: Deer Park, NY; New York, NY; Syracuse, NY

National Provider Directory

National Provider Directory

Locations

5209 Burnet Rd
Unit 300
Austin, TX 78756

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1508605973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 BURNET RD UNIT 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 BURNET RD UNIT 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562443",
            "telephone_number": "855-422-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD MEDICAL NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "SABA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "949-463-0650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everly Provider Group NY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EMERALD MEDICAL NY PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.