Active NPI
Mohammed Mominul Haque, MD
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2000160353
- Practice address
- 4455 Duncan Ave
Saint Louis, MO 63110-1111 - Phone
- (314) 658-3800
- Fax
- (636) 333-4510
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2000160353 | MO | Primary |
Addresses
Primary practice location
4455 Duncan Ave
Saint Louis, MO 63110-1111
Mailing address
PO Box 1449
Maryland Heights, MO 63043-0449
Phone (314) 713-3665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205437833 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, VA, OK, TX, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15225 Heathcote Blvd
Haymarket, VA 20169-6264
Phone (240) 686-2300
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3131
8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone (240) 686-2300
8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Integrated Acute Care Services of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
| Gateway Hospitalist PC | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates, P.a.,P.C. | Internal Medicine | Current | Accepting new patients |
| Usacs Observation Medicine Services of Oklahoma, LLC | Current | Accepting new patients | |
| Theoria Medical | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC. | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates PA PC | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Bi-State Cardiovascular Consultant PC | Current | Accepting new patients | |
| Mercy Hospital South | Past | Accepting new patients | |
| Mercy Hospital South | Past | Accepting new patients | |
| Manchester Operator LLC | Past | Accepting new patients | |
| Emerald Heights LLC | Past | Accepting new patients | |
| Alliance Inpatient Medicine Inc | Past | Accepting new patients | |
| The Woodlands of Maryland Heights LLC | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
800 Chambers Rd
Ferguson, MO 63135
Phone (314) 522-8100
9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190
312 Solley Dr
Manchester, MO 63021
Phone (636) 391-0666
3201 Parkwood Ln
Maryland Hts, MO 63043
Phone (314) 291-5911
3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800
10018 Kennerly Rd
Fl 3
Saint Louis, MO 63128
Phone (314) 361-8100
2705 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 394-3319
2705 Dougherty Ferry Rd
Ste 201
Saint Louis, MO 63122
Phone (314) 821-5461
5408 S Broadway
Saint Louis, MO 63111
Phone (314) 353-7225
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GFDECD
Organizations & group practices 17
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1225072671
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1326739111
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1740232859
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
MD
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Internal Medicine Physician
- Randallstown, MD
- NPI 1043175375
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Hospitalist Physician
- Saint Louis, MO
- NPI 1487604047
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mechanicsville, VA
- NPI 1912969064
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
-
- Medicare Defined Swing Bed Hospital Unit
- Bartlesville, OK
- NPI 1427428986
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703980800000",
"number": "1689604100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1449",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "630430449",
"telephone_number": "314-713-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 DUNCAN AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101111",
"telephone_number": "314-658-3800",
"fax_number": "636-333-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAQUE",
"first_name": "MOHAMMED",
"middle_name": "MOMINUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2023-12-31",
"certification_date": "2023-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2000160353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205437833",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.