DR. HABIB MOHAMMAD-HUSSEIN GHADDAR M.D.
NPI 1043259476
Internal Medicine - Hematology & Oncology in Weslaco, TX
About Dr. Habib Mohammad-hussein Ghaddar M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HABIB MOHAMMAD-HUSSEIN GHADDAR M.D. (NPI 1043259476) is an individual hematology & oncology provider in Weslaco, Texas, licensed in Texas (J2579) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 8
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Habib Mohammad-hussein Ghaddar 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.
Medicare Billing Reassignment
Medicare enrollment records show Habib Ghaddar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78745
- Reassigned Medicare billing, Texas enrollment
- 1,054 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 25
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vhs Harlingen Hospital Company LLC
Acute Care Hospitals · Harlingen, TXKnapp Medical Center
Acute Care Hospitals · Weslaco, TXRio Grande Regional Hospital
Acute Care Hospitals · Mcallen, TXHarlingen Medical Center
Acute Care Hospitals · Harlingen, TXDoctors Hosptal At Renaissance
Acute Care Hospitals · Edinburg, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78596 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WESLACO, TX 78596
WESLACO, TX 78596
WESLACO, TX 78596
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 Habib Ghaddar's NPI number?
The NPI number for Habib Ghaddar is 1043259476. It was assigned to this individual provider in the NPPES registry on June 4, 2006.
Where is Habib Ghaddar located?
Habib Ghaddar practices at 1330 E 6th St Suite 204, Weslaco, TX 78596. The listed phone number is (956) 969-0021.
What is Habib Ghaddar's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Habib Ghaddar enrolled in Medicare?
Yes. Habib Ghaddar 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.
Which organization bills Medicare for Habib Ghaddar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Habib Ghaddar reassigns Medicare benefits to Texas Oncology PA (Austin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Habib Ghaddar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Habib Ghaddar accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Cigna Healthcare and 4 other insurers list Habib Ghaddar 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 Habib Ghaddar affiliated with any hospitals?
According to CMS data, Habib Ghaddar is affiliated with Vhs Harlingen Hospital Company LLC, Knapp Medical Center, Rio Grande Regional Hospital, Harlingen Medical Center and Doctors Hosptal At Renaissance.
When was this NPI record last updated?
The NPPES record for Habib Ghaddar was last updated on January 31, 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.