Individual provider Active NPI

Fahad Syed Naseerullah, M.D.

  • Hospitalist Physician
  • Sugar Land, TX
National Provider Identifier
1912330200
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
S5027 Issued in TX
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 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
I20160817003431 IL Practitioner - Internal Medicine 0749591816 Reassigns benefits to 2 organizations
I20201201000562 TX Practitioner - Hospitalist 0749591816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

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

LicenseStateTypeSpecialty
S5027TXMDInternal Medicine Physician
036140593ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Aug 22, 2020 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Aug 22, 2020 Accepting new patients
Granite City Hospitalist Services LLC Hospitalist CurrentSince Nov 1, 2018 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 1, 2016 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 1, 2016 Accepting new patients
Houston Methodist Specialty Physicians Hospitalist CurrentSince Jan 1, 2026 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

  • Direct secure messaging: fnaseerullah328599@directhoustonmethodist.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.