NPIMap

Individual provider Active NPI

Riaz Ul Haque, M.D.

  • Family Medicine Physician
  • Pearland, TX
National Provider Identifier
1881697852
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15040R Issued in LA
Practice address
2404 Smith Ranch Rd Ste 200
Pearland, TX 77584-5233
Phone
(713) 436-4333
Fax
(844) 322-8254
NPI assigned
May 24, 2005
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15040R LA Primary
Family Medicine Physician 207Q00000X M5211 TX

Addresses

Primary practice location

2404 Smith Ranch Rd Ste 200
Pearland, TX 77584-5233

Mailing address

7203 Timberlake Dr
Sugar Land, TX 77479-6309
Phone (504) 296-9674

Other practice location 1

4113 Williams Blvd
Kenner, LA 70065-2202
Phone (713) 436-4333

Other identifiers 4

IdentifierTypeStateIssuer
15040ROtherLALOUISIANA MEDICAL LICENSE
1421014MedicaidLA
345196501MedicaidTX
M5211OtherTXTEXAS MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040628000570 LA Practitioner - Family Practice 8527044833 Practice locations: Kenner, LA; New Orleans, LA
I20140327001549 TX Practitioner - Family PracticePractitioner - Physical Medicine and Rehabilitation 8527044833 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

203 Brand LN
Suite 35
Stafford, TX 77477-5317
Phone (281) 598-6614

2404 Smith Ranch Rd
Suite 200
Pearland, TX 77584-5201
Phone (713) 463-4333

2404 Smith Ranch Rd
Suite 200
Pearland, TX 77584-5233

2743 Imperia Dr
Suite 402
Sugar Land, TX 77479-8988
Phone (866) 439-3165

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15040RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Max Clinic PLLC Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Preventa Family Clinic, PLLC Family Medicine CurrentSince Oct 26, 2017 Accepting new patients
Pearland Healthcare Center, PLLC Current Accepting new patients
Heights Family Practice PLLC Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Stafford Family Practice PLLC Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Texas Innovative Medics PLLC CurrentSince Jun 16, 2024 Accepting new patients
Lee Robert Domangue, M.D., a Professional Medical Corporation Past Accepting new patients
Riverside Medical Center Past Accepting new patients
Laboratory Corporation of America Holdings Past Accepting new patients
New Orleans Medical Associates LLC Past Accepting new patients
Riverside Medical Center Past Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
The Rose Clinic, Apmc Family Medicine Past Accepting new patients
Riaz Ul Haque LLC Family Medicine Past Accepting new patients
Lakeside Physician Associates, LLC Past Accepting new patients

Locations

705 E Marshall Ave
Ste 3001
Longview, TX 75601
Phone (903) 230-9811

2404 Smith Ranch Rd
Ste 200
Pearland, TX 77584
Phone (713) 436-4333

203 Brand Ln
Ste 35
Stafford, TX 77477
Phone (281) 598-6614

11920 S Highway 6
Ste 1500
Sugar Land, TX 77498
Phone (281) 617-8671

15200 Southwest Fwy
Ste 285
Sugar Land, TX 77478
Phone (281) 634-7800

2743 Imperia Dr
Ste 402
Sugar Land, TX 77479
Phone (832) 400-2050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7776/brand/1/csg/1/fhir/r4
  • Direct secure messaging: riaz.haque.1@17962.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1881697852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7203 TIMBERLAKE DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796309",
            "telephone_number": "504-296-9674",
            "fax_number": "504-754-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 SMITH RANCH RD STE 200",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845233",
            "telephone_number": "713-436-4333",
            "fax_number": "844-322-8254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4113 Williams Blvd",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700652202",
            "country_code": "US",
            "telephone_number": "713-436-4333",
            "fax_number": "504-754-7574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "RIAZ",
        "middle_name": "UL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "15040R",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA MEDICAL LICENSE",
            "identifier": "15040R",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1421014",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345196501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "M5211",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.