Individual provider Active NPI

Emile Fares, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1902891302
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G2254 Issued in TX
Practice address
7338 McHenry St
Houston, TX 77087-3633
Phone
(713) 644-4442
Fax
(713) 644-8964
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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 G2254 TX Primary
Internal Medicine Physician 207R00000X G2254 TX

Addresses

Primary practice location

7338 McHenry St
Houston, TX 77087-3633

Mailing address

7338 McHenry St
Houston, TX 77087-3633
Phone (713) 644-4442

Other identifiers 3

IdentifierTypeStateIssuer
333487201MedicaidTX
333487202MedicaidTX
137924012MedicaidTX

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
I20120504000268 TX Practitioner - Family Practice 1850553041 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Alliance Medical Group, PA Family Medicine CurrentSince Oct 11, 2019 Accepting new patients
Morton L.Rubin DO PA Family Medicine PastSince Dec 25, 2003 Accepting new patients
Immediate Medical Care, PA Past Accepting new patients

Locations

14770 Memorial Dr
Ste 220
Houston, TX 77079
Phone (281) 493-5535

6535 Southwest Fwy
Houston, TX 77074
Phone (713) 981-8184

12188 Gulf Fwy
Houston, TX 77034
Phone (281) 977-8384

14755 North Fwy
Ste 400
Houston, TX 77090
Phone (281) 876-2500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1902891302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7338 MCHENRY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770873633",
            "telephone_number": "713-644-4442",
            "fax_number": "713-644-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7338 MCHENRY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770873633",
            "telephone_number": "713-644-4442",
            "fax_number": "713-644-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARES",
        "first_name": "EMILE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G2254",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G2254",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333487201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333487202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137924012",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.