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DR. HAIDER AFZAL MD
NPI 1083621023
Family Medicine in Baytown, TX

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
1690 W BAKER RD, STE B, BAYTOWN, TX 77521(281) 428-8203(281) 428-0624 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 19, 2017, May 17, 2017 (3 updates tracked since 2017).

About Dr. Haider Afzal Md NPPES

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

DR. HAIDER AFZAL MD (NPI 1083621023) is an individual family medicine provider in Baytown, Texas, licensed in Texas (M3842) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Southeast, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1083621023
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HAIDER AFZALCredential: MD
Location Address1690 W BAKER RD, STE BBaytown, TX 77521-2416
Mailing Address1690 W Baker Rd, Ste BBaytown, TX 77521-2416 · (281) 428-8203 · Fax (281) 428-0624
Phone(281) 428-8203
Fax(281) 428-0624
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1083621023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M3842
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1690 W BAKER RD, Baytown, TX 77521
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Other Identifiers 2

Medicaid181627402TX
Other8W2020TX · Bcbstx

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. Haider Afzal Md 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 ID7517961378
PECOS Enrollment IDI20060908000425
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 Haider Afzal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Haider Afzal MD PA
Same address
Family Medicine
1682 W BAKER RD STE B
Baytown, TX 77521
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
NPI 1699003053 (281) 428-8203
Rehmat Institute Of Health And Wellness LLC
18 mi
Primary Care
1013 DELESANDRI LN
Kemah, TX 77565
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1548015068 (713) 568-1210

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 6

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.
2,395 services198 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.
211 services186 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
193 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
12 services12 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Riceland Medical Center

Critical Access Hospitals · Winnie, TX
OwnershipProprietary
CMS Certification Number451328
Location538 BroadwayWinnie, TX 77665 · Chambers County
Emergency services

Altus Baytown Hospital

Acute Care Hospitals · Baytown, TX
OwnershipPhysician
CMS Certification Number670109
Location1626 W Baker RoadBaytown, TX 77521 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77521 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers12 claims44 services$6.53 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.98 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$12.23 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers27 claims27 services$211.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Haider Afzal's NPI number?

The NPI number for Haider Afzal is 1083621023. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Haider Afzal located?

Haider Afzal practices at 1690 W Baker Rd Ste B, Baytown, TX 77521. The listed phone number is (281) 428-8203.

What is Haider Afzal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Haider Afzal enrolled in Medicare?

Yes. Haider Afzal 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 Haider Afzal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haider Afzal reassigns Medicare benefits to 2 organizations: Haider Afzal MD PA (Baytown, TX) and Rehmat Institute Of Health And Wellness LLC (Kemah, 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 Haider Afzal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haider Afzal 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 5 other insurers list Haider Afzal 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 Haider Afzal affiliated with any hospitals?

According to CMS data, Haider Afzal is affiliated with Hca Houston Healthcare Southeast, Riceland Medical Center and Altus Baytown Hospital.

When was this NPI record last updated?

The NPPES record for Haider Afzal was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.