Active NPI
Fahad Syed Naseerullah, M.D.
- Hospitalist Physician
- Sugar Land, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- S5027
- Practice address
- 16811 Southwest Fwy Ste 300
Sugar Land, TX 77479-4728 - Phone
- (618) 899-2497
- NPI assigned
- Aug 9, 2013
- Last updated
- Oct 17, 2022
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036140593 | IL | |
| Hospitalist Physician | 208M00000X | S5027 | TX | Primary |
| Internal Medicine Physician | 207R00000X | S5027 | TX |
Addresses
Primary practice location
16811 Southwest Fwy Ste 300
Sugar Land, TX 77479-4728
Mailing address
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 899-2497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TX
- 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
- Hospitalist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16811 Southwest Fwy
Sugar Land, TX 77479-4728
Phone (281) 690-4678
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S5027 | TX | MD | Internal Medicine Physician |
| 036140593 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Internal Medicine | Current | Accepting new patients |
| Granite City Hospitalist Services LLC | Hospitalist | Current | Accepting new patients |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Houston Methodist Specialty Physicians | Hospitalist | Current | Accepting new patients |
| Methodist Health Centers | Past | Accepting new patients |
Locations
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
7550 Greenbriar Dr
Ste RB6230
Houston, TX 77030
Phone (713) 363-8256
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
16811 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 275-0450
16811 Southwest Fwy
Ste 200
Sugar Land, TX 77479
Phone (281) 690-4678
16811 Southwest Fwy
Ste 300
Sugar Land, TX 77479
Phone (281) 274-8050
Interoperability endpoints
- fnaseerullah328599@directhoustonmethodist.org
- fnasser@yourcarecommunity.org
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.
-
- Otolaryngology Physician
- Houston, TX
- NPI 1902614332
Hospitalist
-
- Hospitalist Physician
- Carbondale, IL
- NPI 1669926424
-
dba SSM Health St. Mary's Hospital - Centralia
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
dba SSM Health St. Mary's Hospital - Centralia
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Centralia, IL
- NPI 1710105192
-
dba Houston Methodist Sugar Land Hospital
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1497871628
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Houston Methodist Sugar Land Hospital
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1497871628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1912330200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GOOD SAMARITAN WAY",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642402",
"telephone_number": "618-899-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16811 SOUTHWEST FWY STE 300",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794728",
"telephone_number": "618-899-2497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASEERULLAH",
"first_name": "FAHAD",
"middle_name": "SYED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-09",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036140593",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "S5027",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S5027",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.