NADIA HAJ-ISMAIL
NPI 1043743727
Internal Medicine in Houston, TX

Active since April 09, 2017PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
5656 KELLEY ST, HOUSTON, TX 77026(713) 566-4489 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2025, Sep 16, 2022, Oct 4, 2021 and 1 more (4 updates tracked since 2021).

About Nadia Haj-ismail NPPES

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

NADIA HAJ-ISMAIL (NPI 1043743727) is an individual internal medicine provider in Houston, Texas, licensed in Texas (R9975) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1043743727
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNADIA HAJ-ISMAIL
Location Address5656 KELLEY STHouston, TX 77026-1967
Mailing Address5656 Kelley St # 4bi70001Houston, TX 77026-1967 · (713) 566-4489 · Fax (713) 566-5025
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2017
Enumeration DateApril 9, 2017
Last NPPES UpdateSeptember 17, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1043743727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · R9975
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License R9975 (TX)
5656 KELLEY ST, Houston, TX 77026

Secondary Practice Location 1

Location 16501 Fannin St Ste Nc100Houston, TX 77030-2703 · Phone (713) 798-2222 · Fax (713) 798-0111

Accepted 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

Nadia Haj-ismail 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 ID3476957804
PECOS Enrollment IDI20210809000032
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
34 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services12 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77026 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$67.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
5656 KELLEY ST
HOUSTON, TX 77026
Physician Assistant
5656 KELLEY ST, ROOM IEC 93006
HOUSTON, TX 77026
Internal Medicine
5656 KELLEY ST
HOUSTON, TX 77026
Internal Medicine
5656 KELLEY ST
HOUSTON, TX 77026
Physician Assistant
5656 KELLEY ST
HOUSTON, TX 77026
Physician Assistant
5656 KELLEY ST
HOUSTON, TX 77026
Internal Medicine (Cardiovascular Disease)
5656 KELLEY ST
HOUSTON, TX 77026
Family Medicine
5656 KELLEY ST
HOUSTON, TX 77026

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 Nadia Haj-ismail's NPI number?

The NPI number for Nadia Haj-ismail is 1043743727. It was assigned to this individual provider in the NPPES registry on April 9, 2017.

Where is Nadia Haj-ismail located?

Nadia Haj-ismail practices at 5656 Kelley St, Houston, TX 77026. The listed phone number is (713) 566-4489.

What is Nadia Haj-ismail's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nadia Haj-ismail enrolled in Medicare?

Yes. Nadia Haj-ismail 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 Nadia Haj-ismail accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Nadia Haj-ismail 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 Nadia Haj-ismail affiliated with any hospitals?

According to CMS data, Nadia Haj-ismail is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Nadia Haj-ismail was last updated on September 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.