Organization Active NPI

Heights Family Practice PLLC

  • Family Medicine Physician
  • Pearland, TX
National Provider Identifier
1679813729
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5211 Issued in TX
Legal business name
HEIGHTS FAMILY PRACTICE PLLC
Practice address
2404 Smith Ranch Rd
Suite 200
Pearland, TX 77584-5233
Phone
(713) 436-4333
Fax
(713) 436-4423
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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

Authorized official

Name
Dr. Riaz Ul Haque, M.D.NPI 1881697852
Title
President/ Director
Phone
(504) 296-9674

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M5211 TX Primary

Addresses

Primary practice location

2404 Smith Ranch Rd
Suite 200
Pearland, TX 77584-5233

Mailing address

2404 Smith Ranch Rd
Suite 200
Pearland, TX 77584-5233
Phone (713) 436-4333

Other identifiers 1

IdentifierTypeStateIssuer
M5211OtherTXTEXAS MEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140327001028 TX Part B Supplier - Clinic/Group Practice 5193956530 Receives reassigned benefits from 1 practitioner
Practice locations: Pearland, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1040627Heights Family Practice, PLLC2404 Smith Ranch Road, Suite 200, Pearland, TX 77584Certificate of waiverOct 3, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1679813729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 SMITH RANCH RD",
            "address_2": "SUITE 200",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845233",
            "telephone_number": "713-436-4333",
            "fax_number": "713-436-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 SMITH RANCH RD",
            "address_2": "SUITE 200",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845233",
            "telephone_number": "713-436-4333",
            "fax_number": "713-436-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIGHTS FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "RIAZ",
        "authorized_official_middle_name": "UL",
        "authorized_official_title_or_position": "PRESIDENT/ DIRECTOR",
        "authorized_official_telephone_number": "504-296-9674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "M5211",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.