Individual provider Active NPI

Robert Mark Haman, D.O.

  • Family Medicine Physician
  • Irving, TX
National Provider Identifier
1659551174
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0421 Issued in TX
Practice address
1239 E Irving Blvd
Irving, TX 75060-4354
Phone
(972) 579-8011
Fax
(972) 579-9454
NPI assigned
Nov 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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 H0421 TX Primary

Addresses

Primary practice location

1239 E Irving Blvd
Irving, TX 75060-4354

Mailing address

1239 E Irving Blvd
Irving, TX 75060-4354
Phone (972) 579-8011

Other identifiers 2

IdentifierTypeStateIssuer
112175801MedicaidTX
112175802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100624000937 TX Practitioner - Family Practice 8224169982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1239 E Irving Blvd
Irving, TX 75060-4354
Phone (972) 579-8011

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
R. Mark Haman, D.O., P.a. Family Medicine CurrentSince May 21, 2010 Accepting new patients

Locations

1239 E Irving Blvd
Irving, TX 75060
Phone (214) 579-8011

Interoperability endpoints

  • Direct secure messaging: rmhamando@ppdxdirect.com

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.

Hospital & facility affiliations 3

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": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1659551174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 E IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750604354",
            "telephone_number": "972-579-8011",
            "fax_number": "972-579-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 E IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750604354",
            "telephone_number": "972-579-8011",
            "fax_number": "972-579-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAN",
        "first_name": "ROBERT",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112175801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112175802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.