Individual provider Active NPI

Mohamed Ibrahim Raslan Hegazy, M.D.

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1811280100
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0439029 Issued in KS
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

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200602002489 TX Practitioner - Neurology 9335435254 Reassigns benefits to 5 organizations
I20221031002012 OH Practitioner - Neurology 9335435254 Reassigns benefits to 1 organization

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
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians

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 Hospital, Corpus Christi, TX, CCN 450046
  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032
  • Christus Spohn Hospital Kleberg Hospital, Kingsville, TX, CCN 450163
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME158957FLMDNeurology Physician
0439029KSMDNeurology Physician
S2591TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Neurology PC Neurology CurrentSince Apr 23, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 7, 2024 Accepting new patients
Baylor College of Medicine CurrentSince May 19, 2020 Accepting new patients
Alliance Physicians Inc Neurology CurrentSince Oct 14, 2022 Accepting new patients
Baptist Health Medical Group Inc Neurology Current Accepting new patients
Texas Children'S Physician Group CurrentSince Nov 14, 2024 Accepting new patients
Baylor College of Medicine Neurology CurrentSince May 19, 2020 Accepting new patients
Baylor College of Medicine CurrentSince May 19, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 7, 2024 Accepting new patients
Baylor College of Medicine CurrentSince May 19, 2020 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.