Individual provider Active NPI

Baraa Al-Hafez, M.D

  • Neurological Surgery Physician
  • Houston, TX
National Provider Identifier
1750596904
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
P6764 Issued in TX
Practice address
10496 Katy Fwy
Ste 101
Houston, TX 77043-5106
Phone
(346) 571-7500
Fax
(713) 492-2440
NPI assigned
May 11, 2007
Last updated
Nov 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X P6764 TX Primary

Addresses

Primary practice location

10496 Katy Fwy
Ste 101
Houston, TX 77043-5106

Mailing address

4601 Park Rd
Ste 300
Charlotte, NC 28209-2290
Phone (713) 242-4410

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
I20130821000176 TX Practitioner - Neurosurgery 3274776380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

1105 W Frank Ave
Suite 260
Lufkin, TX 75904-3340
Phone (936) 639-1740

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion85
Laminectomy or laminotomy (partial removal of spine bones)79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor St. Luke's Medical Group CurrentSince Jan 4, 2020 Accepting new patients
Memorial Multispecialty Associates Past Accepting new patients
Memorial Health System of East Texas Past Accepting new patients
Neck Disc Replacement, PLLC Neurological Surgery PastSince May 14, 2018 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

1105 W Frank Ave
Ste 260
Lufkin, TX 75904
Phone (936) 634-5699

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

17350 St Lukes Way
Ste 400
The Woodlands, TX 77384
Phone (832) 249-3721

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1750596904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD",
            "address_2": "STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092290",
            "telephone_number": "713-242-4410",
            "fax_number": "713-242-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10496 KATY FWY",
            "address_2": "STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435106",
            "telephone_number": "346-571-7500",
            "fax_number": "713-492-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HAFEZ",
        "first_name": "BARAA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "P6764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.