Individual provider Active NPI

Uneeza K Haque, M.D.

  • Internal Medicine Physician
  • Massillon, OH
National Provider Identifier
1649565367
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.147381 Issued in OH
Practice address
2037 Wales Ave NW Ste 130
Massillon, OH 44646-4185
Phone
(330) 830-9378
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.147381 OH Primary

Addresses

Primary practice location

2037 Wales Ave NW Ste 130
Massillon, OH 44646-4185

Mailing address

2037 Wales Ave NW Ste 130
Massillon, OH 44646-4185
Phone (330) 830-9378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141024001620 PA Practitioner - Internal Medicine 3971742255 Reassigns benefits to 1 organization
I20230911001418 OH Practitioner - Internal Medicine 3971742255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Medical,Inc.Group PAC ID 6406958529, 3 clinicians

Practice addresses (Care Compare)

2037 Wales Ave
Suite 130
Massillon, OH 44646-4185
Phone (330) 830-9378

Hospital & facility affiliations

  • Aultman Health Care in Your Home Home health agency, Canton, OH, CCN 367290
  • Advantage Home Health Services, Inc Home health agency, North Canton, OH, CCN 368248
  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Medical,Inc. Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
HR Physician Services Internal Medicine CurrentSince Oct 9, 2018 Accepting new patients
HR Physician Services Internal Medicine Current Accepting new patients
HR Physician Services CurrentSince Oct 9, 2018 Accepting new patients

Locations

2037 Wales Ave NW
Ste 130
Massillon, OH 44646
Phone (216) 830-9378

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

Organizations & group practices 4

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1649565367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 WALES AVE NW STE 130",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464185",
            "telephone_number": "330-830-9378",
            "fax_number": "330-830-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 WALES AVE NW STE 130",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464185",
            "telephone_number": "330-830-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "UNEEZA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2023-09-18",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.147381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.