Individual provider Active NPI

Muhammad Abdur Rahim Haqqani, MD

  • Psychiatry Physician
  • Frisco, TX
National Provider Identifier
1942253372
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L8361 Issued in TX
Practice address
4500 Hillcrest Rd Ste 115
Frisco, TX 75035-5403
Phone
(469) 213-6400
NPI assigned
May 18, 2006
Last updated
Nov 30, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X L8361 TX Primary

Addresses

Primary practice location

4500 Hillcrest Rd Ste 115
Frisco, TX 75035-5403

Mailing address

PO Box 250464
Plano, TX 75025-0464
Phone (469) 213-6400

Other identifiers 3

IdentifierTypeStateIssuer
165450103MedicaidTX
8U1295OtherTXBCBS
P00658222OtherTXRAILROAD MEDICARE

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
I20040719000966 TX Practitioner - Psychiatry 7416936802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1534 N Hampton Rd
Suite C
Desoto, TX 75115-2505
Phone (817) 366-0950

800 Kirnwood Dr
Desoto, TX 75115-2000
Phone (817) 505-7081

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8361TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Mental and Wellness Center Limited Liability Company Psychiatry CurrentSince Feb 1, 2025 Accepting new patients
DFW Psychiatry Associates PA Psychiatry CurrentSince Dec 15, 2013 Accepting new patients
Dallas Behavioral Healthcare Hospital, LLC Past Accepting new patients

Locations

7000 US 287 Hwy
Ste 1
Arlington, TX 76001
Phone (817) 505-7081

1534 N Hampton Rd
Ste C
Desoto, TX 75115
Phone (469) 225-9850

800 Kirnwood Dr
Desoto, TX 75115
Phone (817) 505-7081

4500 Hillcrest Rd
Ste 115
Frisco, TX 75035
Phone (469) 213-6400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1942253372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250464",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250464",
            "telephone_number": "469-213-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 HILLCREST RD STE 115",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355403",
            "telephone_number": "469-213-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQQANI",
        "first_name": "MUHAMMAD",
        "middle_name": "ABDUR RAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L8361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165450103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U1295",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00658222",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.