Haissam Sohail Elzaim, MD, PHD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

M6120 Issued in TX

Practice address

315 E Mark S Pena Dr Ste B
Edinburg, TX 78539-6304

Phone

(956) 362-6890

Fax

(956) 362-6895

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Orthopedic Surgery

Education

University of Texas Medical Branch at Galveston, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renaissance ProvidersGroup PAC ID 3476877879, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score

77.39 of 100Reported as group

Quality

68.87

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
• Direct secure messaging: haissam.elzaim@ipmcentral.cernerdirect.com

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.

• Renaissance Providers

  • Orthopaedic Surgery Physician
  • Edinburg, TX
  • NPI 1336577477
  Medicare reassignment Care Compare group NPD
• Hse Orthopaedic Surgery Clinic

  • Orthopaedic Surgery Physician
  • Cleveland, TX
  • NPI 1538364088
  NPD (past) Authorized official
• Baylor St. Luke'S Medical Group

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1740485879

  Orthopaedic Surgery

  NPD (past)
• Southern Texas Physicians Network Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Conroe, TX
  • NPI 1538104351
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital at Renaissance, LTD

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1053317362
  Care Compare affiliation
• Doctors Hospital at Renaissance, LTD

  • Transplant Surgery Physician
  • McAllen, TX
  • NPI 1104338052

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1972723583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4624",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024624",
            "telephone_number": "956-362-6890",
            "fax_number": "956-362-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E MARK S PENA DR STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396304",
            "telephone_number": "956-362-6890",
            "fax_number": "956-362-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZAIM",
        "first_name": "HAISSAM",
        "middle_name": "SOHAIL",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M6120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192195904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oneida Elizondo, FNP
• Paola Elizondo
• Roberto Elizondo Jr., LPC
• Samantha Joy Elizondo, M.S., CCC-SLP
• Scarlet Duvessa Elizondo
• Emelia Castaneda Dba Los Laureles Adult Day Care
• Emelux Medical Supply
• Gabrielle Marie Emery
• Emilia Dulgheru, M.D., P.a.
• Emma E. Gonzalez OD PLLC

• Orthopaedic Surgery Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.

Verify at the official NPI Registry.