Active NPI
Rizwan Ul Haque, MD
- Anesthesiology Physician
- Methuen, MA
National Provider Identifier
1619977105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 49279
- Practice address
- 70 East St
Methuen, MA 01844-4597 - Phone
- (978) 687-0151
- NPI assigned
- Jul 26, 2005
- Last updated
- Sep 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 49279 | MA | Primary |
Addresses
Primary practice location
70 East St
Methuen, MA 01844-4597
Mailing address
60 East St
Ste 1400
Methuen, MA 01844-4550
Phone (978) 689-4601
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6199402 | Medicaid | MA | |
| B11814 | Other | MA | BCBS |
| 30003645 | Medicaid | MA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505088000000",
"number": "1619977105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 EAST ST",
"address_2": "STE 1400",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444550",
"telephone_number": "978-689-4601",
"fax_number": "978-689-3096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 EAST ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444597",
"telephone_number": "978-687-0151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAQUE",
"first_name": "RIZWAN",
"middle_name": "UL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2017-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "49279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6199402",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "B11814",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003645",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.