Active NPI
Mohamed Ibrahim Raslan Hegazy, M.D.
- Neurology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0439029
- Practice address
- 6410 Fannin St Ste 732
Houston, TX 77030-5202 - Phone
- (713) 500-5482
- Fax
- (713) 500-7120
- NPI assigned
- May 19, 2011
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME158957 | FL | |
| Neurology Physician | 2084N0400X | S2591 | TX | |
| Neurology Physician | 2084N0400X | 0439029 | KS | Primary |
Addresses
Primary practice location
6410 Fannin St Ste 732
Houston, TX 77030-5202
Mailing address
6410 Fannin St Ste 732
Houston, TX 77030-5202
Phone (713) 500-5482
Other practice location 1
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200
Other practice location 2
3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-4580
Other practice location 3
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212
Other practice location 4
630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mhegazy862988@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1826 Delta Oaks Dr
Missouri City, TX 77459-2486
Phone (239) 208-2212
28585 Bass Blvd
Harlingen, TX 78552-2102
Phone (855) 201-6912
Hospital & facility affiliations
- Christus Spohn Hospital Corpus Christi
- Christus Good Shepherd Medical Center
- Christus Spohn Hospital Kleberg
- Christus St Michael Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME158957 | FL | MD | Neurology Physician |
| 0439029 | KS | MD | Neurology Physician |
| S2591 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtual Neurology PC | Neurology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Alliance Physicians Inc | Neurology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Neurology | Current | Accepting new patients |
| Texas Children'S Physician Group | Current | Accepting new patients | |
| Baylor College of Medicine | Neurology | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206
9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206
11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
7200 Cambridge St
Ste 9A
Houston, TX 77030
Phone (713) 798-2273
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117
6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
- General Acute Care Hospital
- Kingsville, TX
- NPI 1093783391
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1811280100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 732",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770305202",
"telephone_number": "713-500-5482",
"fax_number": "713-500-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 732",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770305202",
"telephone_number": "713-500-5482",
"fax_number": "713-500-7120"
}
],
"practiceLocations": [
{
"address_1": "9500 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441950001",
"country_code": "US",
"telephone_number": "216-444-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3901 Rainbow Blvd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661600001",
"country_code": "US",
"telephone_number": "913-588-4580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11215 Metro Pkwy Ste 1",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339661206",
"country_code": "US",
"telephone_number": "239-208-2212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "630 Eaton Ave",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "OH",
"postal_code": "450132767",
"country_code": "US",
"telephone_number": "513-867-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEGAZY",
"first_name": "MOHAMED",
"middle_name": "IBRAHIM RASLAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-19",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME158957",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "S2591",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KS",
"license": "0439029",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mhegazy862988@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "630 Eaton Ave",
"city": "Hamilton",
"state": "OH",
"country_code": "US",
"postal_code": "450132767",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "630 Eaton Ave",
"city": "Hamilton",
"state": "OH",
"country_code": "US",
"postal_code": "450132767",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.