Active NPI
Zain Anwar Hakeem, DO
- Internal Medicine Physician
- Kyle, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- P0222
- Practice address
- 4100 Everett Dr Ste 400
Kyle, TX 78640-6147 - Phone
- (512) 504-5186
- NPI assigned
- Jul 10, 2007
- Last updated
- Jun 25, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125-052756 | IL | |
| Internal Medicine Physician | 207R00000X | P0222 | TX | Primary |
| Pediatrics Physician | 208000000X | 125-052756 | IL |
Addresses
Primary practice location
4100 Everett Dr Ste 400
Kyle, TX 78640-6147
Mailing address
PO Box 26726
Austin, TX 78755-0726
Phone (512) 407-8686
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286830903 | Medicaid | TX | |
| 286830901 | Medicaid | TX | |
| 286830902 | Medicaid | TX | |
| 286830904 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.63 of 100
- Quality
- 78.21
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 67.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-052756 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Hni Medical Services | Internal Medicine | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Internal Medicine | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Shannon Clinic | Internal Medicine | Current | Accepting new patients |
| Seton Hospitalist Service | Internal Medicine | Past | Accepting new patients |
| Austin Regional Clinic, PA | Past | Accepting new patients |
Locations
512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322
120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511
120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741
3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361
Interoperability endpoints
- zhakeem1162022@ahs.direct-ci.com
- zhakeem40184@shannonhealth.direct-ci.com
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1689872632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26726",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787550726",
"telephone_number": "512-407-8686",
"fax_number": "512-406-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 EVERETT DR STE 400",
"city": "KYLE",
"state": "TX",
"postal_code": "786406147",
"telephone_number": "512-504-5186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKEEM",
"first_name": "ZAIN",
"middle_name": "ANWAR",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-10",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125-052756",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "P0222",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125-052756",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286830903",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286830901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286830902",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286830904",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.