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MUHAMMAD NAEEM M.D.
NPI 1043201668
Internal Medicine - Gastroenterology in San Antonio, TX

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
73.1/100
CMS Quality Rating
11212 STATE HWY. 151, PLAZA 1, SUITE 270, SAN ANTONIO, TX 78251(210) 509-8888(210) 509-8895 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2018, Apr 13, 2017, Mar 14, 2017 (3 updates tracked since 2017).

About Muhammad Naeem M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUHAMMAD NAEEM M.D. (NPI 1043201668) is an individual gastroenterology provider in San Antonio, Texas, licensed in Texas (K8367) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1043201668
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMUHAMMAD NAEEMCredential: M.D.
Location Address11212 STATE HWY. 151, PLAZA 1, SUITE 270San Antonio, TX 78251
Mailing AddressPo Box 761627San Antonio, TX 78245-6627 · (210) 509-8888 · Fax (210) 509-8895
Phone(210) 509-8888
Fax(210) 509-8895
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateNovember 2, 2005
Last NPPES UpdateMay 30, 20183 updates tracked since enumeration
✔ NPI 1043201668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · K8367
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
11212 STATE HWY. 151, San Antonio, TX 78251
Open in Google Maps ↗

Secondary Practice Location 1

Location 118518 HARDY OAK BLVD STE 310San Antonio, TX 78258-4762 · Phone (210) 509-8888 · Fax (210) 509-8895

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Muhammad Naeem M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810966355
PECOS Enrollment IDI20040930000654
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services42 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
57 services56 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
23 services23 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Hendrick Medical Center Brownwood

Acute Care Hospitals · Brownwood, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450587
Location1501 Burnet DrBrownwood, TX 76801 · Brown County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.26
Promoting Interoperability100
Improvement Activities40
Cost47.09

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH HILLS FAMILY MEDICINE, PA
Nurse Practitioner (Family)
11212 STATE HWY. 151, BLDG. 2, STE 201
SAN ANTONIO, TX 78251
Bexar County (210) 681-5747
MUHAMMAD NAEEM, M.D., P.A
Internal Medicine (Gastroenterology)
11212 STATE HWY. 151, PLAZA 1, SUITE 270
SAN ANTONIO, TX 78251
Bexar County (210) 509-8888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Muhammad Naeem's NPI number?

The NPI number for Muhammad Naeem is 1043201668. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Muhammad Naeem located?

Muhammad Naeem practices at 11212 State Hwy. 151 Plaza 1, Suite 270, San Antonio, TX 78251. The listed phone number is (210) 509-8888.

What is Muhammad Naeem's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Muhammad Naeem enrolled in Medicare?

Yes. Muhammad Naeem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Muhammad Naeem accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Muhammad Naeem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Muhammad Naeem affiliated with any hospitals?

According to CMS data, Muhammad Naeem is affiliated with Baptist Medical Center, Hendrick Medical Center Brownwood and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Muhammad Naeem was last updated on May 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.