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DR. HANIYEH KASMAI MD
NPI 1487916680
Family Medicine in The Woodlands, TX

Active since June 13, 2012PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
1111 MEDICAL PLAZA DR, SUITE 250, THE WOODLANDS, TX 77380(281) 296-8788(281) 419-1291 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2021, Feb 26, 2018 (2 updates tracked since 2018).

About Dr. Haniyeh Kasmai Md NPPES

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

DR. HANIYEH KASMAI MD (NPI 1487916680) is an individual family medicine provider in The Woodlands, Texas, licensed in Texas (Q2571) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Chi St Lukes Health Memorial Livingston, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1487916680
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HANIYEH KASMAICredential: MD
Location Address1111 MEDICAL PLAZA DR, SUITE 250The Woodlands, TX 77380
Mailing Address1111 Medical Plaza Dr, Suite 250The Woodlands, TX 77380 · (281) 296-8788 · Fax (281) 419-1291
Phone(281) 296-8788
Fax(281) 419-1291
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 13, 2012
Last NPPES UpdateOctober 8, 20212 updates tracked since enumeration
NPPES CertifiedOctober 8, 2021
✔ NPI 1487916680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · Q2571✔ Licensed in TX · BP10042844
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.
Also ListedHospitalistTaxonomy 208M00000X · License Q2571 (TX)
1111 MEDICAL PLAZA DR, The Woodlands, TX 77380
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas 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

Dr. Haniyeh Kasmai 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 ID7315253515
PECOS Enrollment IDI20150902002795
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 5

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 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.
227 services107 patients
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.
85 services57 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
81 services81 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.
39 services38 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Lukes Health Memorial Livingston

Acute Care Hospitals · Livingston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450395
Location1717 Hwy 59 BypassLivingston, TX 77351 · Polk County
Emergency services Birthing friendly

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77380 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

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 3

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
3 suppliers27 claims31 services$15.60 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
4 suppliers60 claims61 services$74.64 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers22 claims23 services$31.24 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.

HOBEN NEURO GROUP LLC
Physician Assistant (Surgical)
1111 MEDICAL PLAZA DR
SHENANDOAH, TX 77380
Montgomery County (936) 499-1569
MISAKI FLORES APRN
Nurse Practitioner (Acute Care)
1111 MEDICAL PLAZA DR
THE WOODLANDS, TX 77380
Montgomery County (281) 315-8109
AUDRA J DEAR NP, RN
Nurse Practitioner
1111 MEDICAL PLAZA DR, SUITE 250
THE WOODLANDS, TX 77380
Montgomery County (281) 587-5078
HAMMAD NASIR QURESHI M.D.
Internal Medicine (Pulmonary Disease)
1111 MEDICAL PLAZA DR, SUITE 250
THE WOODLANDS, TX 77380
Montgomery County (281) 296-8788
JEFY M MATHEW MD
Internal Medicine (Pulmonary Disease)
1111 MEDICAL PLAZA DR, SUITE 250
THE WOODLANDS, TX 77380
Montgomery County (281) 296-8788
DR. FADI G GHANEM M.D.
Family Medicine
1111 MEDICAL PLAZA DR, SUITE 230
THE WOODLANDS, TX 77380
Montgomery County (281) 419-1599
TAM MINH TRUONG M.D.
Internal Medicine
1111 MEDICAL PLAZA DR, SUITE 250
THE WOODLANDS, TX 77380
Montgomery County (281) 296-8788
J RIVERA ROSALES MD INTERNAL MEDICINE PROFESSIONAL ASSOCIATION
Internal Medicine
1111 MEDICAL PLAZA DR, SUITE 190
THE WOODLANDS, TX 77380
Montgomery County (281) 305-0725

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 Haniyeh Kasmai's NPI number?

The NPI number for Haniyeh Kasmai is 1487916680. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Haniyeh Kasmai located?

Haniyeh Kasmai practices at 1111 Medical Plaza Dr Suite 250, The Woodlands, TX 77380. The listed phone number is (281) 296-8788.

What is Haniyeh Kasmai's specialty?

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

Is Haniyeh Kasmai enrolled in Medicare?

Yes. Haniyeh Kasmai 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 Haniyeh Kasmai accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Community Health Choice and WellPoint list Haniyeh Kasmai 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 Haniyeh Kasmai affiliated with any hospitals?

According to CMS data, Haniyeh Kasmai is affiliated with Chi St Lukes Health Memorial Livingston and St Luke's The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Haniyeh Kasmai was last updated on October 8, 2021. 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.