Individual provider Active NPI

Karim Ismail Ali Haji, MD

  • Family Medicine Physician
  • Bryan, TX
National Provider Identifier
1568461499
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2221 Issued in TX
Practice address
1703 East 29TH Street
Bryan, TX 77802-1406
Phone
(979) 779-4756
Fax
(979) 823-3018
NPI assigned
Jul 21, 2005
Last updated
Nov 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E2221 TX Primary

Addresses

Primary practice location

1703 East 29TH Street
Bryan, TX 77802-1406

Mailing address

1703 East 29TH Street
Bryan, TX 77802-1406
Phone (979) 779-4756

Other identifiers 1

IdentifierTypeStateIssuer
8CM315OtherTXBCBS PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Physician Associates Family Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1568461499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 EAST 29TH STREET",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021406",
            "telephone_number": "979-779-4756",
            "fax_number": "979-823-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 EAST 29TH STREET",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021406",
            "telephone_number": "979-779-4756",
            "fax_number": "979-823-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJI",
        "first_name": "KARIM",
        "middle_name": "ISMAIL ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E2221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "8CM315",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.