Hassan M Alissa, MD
Individual provider Active NPI Rheumatology Physician · San Marcos, TX
NPI 1770522633 · NPPES record last updated Feb 14, 2014
Key facts
- NPI
- 1770522633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 2000160315 (MO)
- Practice address
- 1340 Wonder World Dr
BLDG.2, Suite 2203
San Marcos, TX 78666-7598 - Phone
- (512) 667-7123
- Fax
- (512) 667-7328
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.79 of 100
- Quality
- 65.95
- Improvement activities
- 40
- Cost
- 57.53
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081006000420 | TX | Practitioner - Rheumatology |
4880665488 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000160315 | MO | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthritis Clinic of Central Texas | Rheumatology | Current |
Accepting new patients |
| Specialty Physicians of Central Texas | Past | Accepting new patients | |
| Skaggs Community Hosptial Association | Rheumatology | Past | Accepting new patients |
| Skaggs Community Hospital Association | Past | Accepting new patients | |
| Rheumatic Disease Clinic of Houston | Past | Accepting new patients |
Locations
1340 Wonder World Dr
Ste 2203
San Marcos, TX 78666
Phone (512) 667-7123
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCDJDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 2000160315 | MO | Yes |
| Rheumatology Physician | 207RR0500X | M7820 | TX |
Addresses
Primary practice location
1340 Wonder World Dr
BLDG.2, Suite 2203
San Marcos, TX 78666-7598
Mailing address
1340 Wonder World Dr
BLDG.2, Suite 2203
San Marcos, TX 78666-7598
Phone (512) 667-7123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152268 | Other | BCBS | |
| 205333818 | Medicaid | MO | |
| P00152821 | Other | RAILROAD MEDICARE |
Other providers in San Marcos, TX
- Caitrin Alexander
- Gregory S Alexander
- Marisa Alexander
- Meredith Alford
- Anjumanara Ali
- Alligator Dental
- Alligator Dental
- Daniela Garza Almaraz
- Maudi Alvarado- Robles
- Julian Alvarado Jr.
All providers in San Marcos, TX · Rheumatology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.