Individual provider Active NPI

Hassan M Alissa, MD

  • Rheumatology Physician
  • San Marcos, TX
National Provider Identifier
1770522633
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2000160315 Issued in 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
Last updated
Feb 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 2000160315 MO Primary
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

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
I20081006000420 TX Practitioner - RheumatologyPractitioner - Internal Medicine 4880665488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
74.79 of 100Reported as individual
Quality
65.95
Improvement activities
40
Cost
57.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2000160315MOMDRheumatology Physician
M7820TXMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Clinic of Central Texas Rheumatology CurrentSince Jan 6, 2013 Accepting new patients
Specialty Physicians of Central Texas Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients
Rheumatic Disease Clinic of Houston Past Accepting new patients
Skaggs Community Hosptial Association Rheumatology Past Accepting new patients

Locations

1340 Wonder World Dr
Ste 2203
San Marcos, TX 78666
Phone (512) 667-7123

Interoperability endpoints

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1770522633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR",
            "address_2": "BLDG.2, SUITE 2203",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667598",
            "telephone_number": "512-667-7123",
            "fax_number": "512-667-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR",
            "address_2": "BLDG.2, SUITE 2203",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667598",
            "telephone_number": "512-667-7123",
            "fax_number": "512-667-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALISSA",
        "first_name": "HASSAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "2000160315",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "M7820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.