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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MUHAMMAD FAISAL M.D
NPI 1073601928
Internal Medicine - Pulmonary Disease in Pasadena, TX

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
66.96/100
CMS Quality Rating
4003 WOODLAWN AVE, PASADENA, TX 77504(713) 941-0088(713) 941-4798 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2026, Jan 23, 2026, May 18, 2025 and 2 more (5 updates tracked since 2024).

About Dr. Muhammad Faisal M.d NPPES

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

DR. MUHAMMAD FAISAL M.D (NPI 1073601928) is an individual pulmonary disease provider in Pasadena, Texas, licensed in Texas (Q8472) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Southeast, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1073601928
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MUHAMMAD FAISALCredential: M.D
Location Address4003 WOODLAWN AVEPasadena, TX 77504-1910
Mailing Address4003 Woodlawn AvePasadena, TX 77504-1910 · (713) 941-0088 · Fax (713) 941-4798
Phone(713) 941-0088
Fax(713) 941-4798
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 10, 2006
Last NPPES UpdateOctober 16, 20265 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1073601928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · Q8472
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License Q8472 (TX)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License Q8472 (TX)
4003 WOODLAWN AVE, Pasadena, TX 77504
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Other Identifiers 1

Medicaid370661601TX

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Muhammad Faisal 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 ID6608892534
PECOS Enrollment IDI20170130001714
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Muhammad Faisal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lung Center Associates
Same address
Pulmonary Disease
4003 WOODLAWN
Pasadena, TX 77504
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1396880845 (866) 439-3165
Lone Star Intensivists At Gulf Coast, PLLC
9.0 mi
Critical Care Medicine
500 W MEDICAL CENTER BLVD
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 76 clinicians in this Medicare group
NPI 1528558236 (281) 332-2511

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 11

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.
495 services127 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.
330 services107 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
170 services132 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
119 services82 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
74 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Southeast

Acute Care Hospitals · Pasadena, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450097
Location4000 Spencer HwyPasadena, TX 77504 · Harris County
Emergency services Birthing friendly

St Luke's Patients Medical Center

Acute Care Hospitals · Pasadena, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670031
Location4600 East Sam Houston Parkway SouthPasadena, TX 77505 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77504 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.

66.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.42
Improvement Activities0
Cost77.79

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
14%64 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
7%712 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
54%111 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%46 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%46 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,037 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
26%1,017 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%1,907 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
90%110 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 540 patients
Patients totalRate: 1% · 540 patients
1%540 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

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
4 suppliers40 claims40 services$14.77 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
2 suppliers19 claims19 services$877.07 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier22 claims24 services$3.18 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers17 claims17 services$28.87 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
6 suppliers109 claims109 services$63.37 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers74 claims74 services$29.19 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 2

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

AA KIDNEY CARE PLLC
Internal Medicine (Nephrology)
4003 WOODLAWN AVE
PASADENA, TX 77504
Harris County (713) 941-0088
MINIMALLY INVASIVE SPECIALISTS OF TEXAS
Radiology (Vascular & Interventional Radiology)
4003 WOODLAWN AVE
PASADENA, TX 77504
Harris County (866) 439-3165

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 Faisal's NPI number?

The NPI number for Muhammad Faisal is 1073601928. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Muhammad Faisal located?

Muhammad Faisal practices at 4003 Woodlawn Ave, Pasadena, TX 77504. The listed phone number is (713) 941-0088.

What is Muhammad Faisal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Muhammad Faisal enrolled in Medicare?

Yes. Muhammad Faisal 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 organizations bill Medicare for Muhammad Faisal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Faisal reassigns Medicare benefits to 2 organizations: Lung Center Associates (Pasadena, TX) and Lone Star Intensivists At Gulf Coast, PLLC (Webster, TX). Each 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 Muhammad Faisal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Muhammad Faisal 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 Faisal 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 Faisal affiliated with any hospitals?

According to CMS data, Muhammad Faisal is affiliated with Hca Houston Healthcare Southeast and St Luke's Patients Medical Center.

When was this NPI record last updated?

The NPPES record for Muhammad Faisal was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.