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HIBA F EL-QADDOUMI M.D.
NPI 1740560705
Internal Medicine - Critical Care Medicine in Sugar Land, TX

Active since August 23, 2011PECOS EnrolledAccepts Medicare Assignment
16811 SOUTHWEST FWY STE 300, SUGAR LAND, TX 77479(281) 274-8050(281) 275-0760 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Oct 20, 2017, Jul 17, 2017 (3 updates tracked since 2017).

About Hiba F El-qaddoumi M.d. NPPES

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

HIBA F EL-QADDOUMI M.D. (NPI 1740560705) is an individual critical care medicine provider in Sugar Land, Texas, licensed in Texas (P7104) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Thibodaux Regional Medical Center, and maintains a secondary practice location in Forest Hills.

NPPES Registry Identity

NPI1740560705
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameHIBA F EL-QADDOUMICredential: M.D.
Location Address16811 SOUTHWEST FWY STE 300Sugar Land, TX 77479-4728
Mailing Address16811 Southwest Freeway, Suite 300Sugar Land, TX 77479 · (281) 274-8050 · Fax (281) 275-0760
Phone(281) 274-8050
Fax(281) 275-0760
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 23, 2011
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1740560705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in TX · P7104
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
16811 SOUTHWEST FWY STE 300, Sugar Land, TX 77479
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Secondary Practice Location 1

Location 1102- 01 66th RoadForest Hills, NY 11375-3660 · Phone (248) 875-6180

Other Identifiers 1

Medicaid362092401TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, WellPoint.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

Hiba F El-qaddoumi 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 ID2365664554
PECOS Enrollment IDI20141208000914
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

6

Medicare enrollment records show Hiba El-qaddoumi reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Houston Methodist Specialty Physicians
16 mi
Otolaryngology
7550 GREENBRIAR DR STE 600
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 1,579 clinicians in this Medicare group
NPI 1902614332 (281) 414-6055
Tmh Physician Associates PLLC
16 mi
Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
NPI 1275779225 (713) 441-7389
Hni Medical Services
142 mi
Hospitalist
7500 RIALTO BLVD STE 1-140
Austin, TX 78735
  • Reassigned Medicare billing, Texas enrollment
  • 241 clinicians in this Medicare group
NPI 1366735169 (512) 730-3060
Copiah County Medical Center
350 mi
Critical Access
27190 HIGHWAY 28
Hazlehurst, MS 39083
  • Reassigned Medicare billing, Mississippi enrollment
  • 88 clinicians in this Medicare group
NPI 1083039663 (601) 574-7000
Greenwood Leflore Hospital
419 mi
Hospitalist
1401 RIVER RD
Greenwood, MS 38930
  • Reassigned Medicare billing, Mississippi enrollment
  • 51 clinicians in this Medicare group
NPI 1720048440 (662) 459-2604
Ccmma Tx PLLC
1,439 mi
Anesthesiology
2 PARK AVE STE 2039
New York, NY 10016
  • Reassigned Medicare billing, Texas enrollment
  • 62 clinicians in this Medicare group
NPI 1841829819 (845) 702-2711

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 4

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.

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.
111 services107 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
45 services34 patients
Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth G0509
A telehealth consultation for critical care is a virtual meeting with a doctor for ongoing critical health issues. It involves a 50-minute session where the physician connects with the patient and other healthcare providers to discuss and manage the patient's condition. This method ensures safe, convenient care.
25 services17 patients
Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508
A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Thibodaux Regional Medical Center

Acute Care Hospitals · Thibodaux, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190004
Location602 N Acadia RoadThibodaux, LA 70301 · Lafourche County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Rice Medical Center

Critical Access Hospitals · Eagle Lake, TX
OwnershipProprietary
CMS Certification Number451312
Location600 South Austin RoadEagle Lake, TX 77434 · Colorado County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 19

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

SAIF K ALTAIE MD
Internal Medicine
16811 SOUTHWEST FWY STE 300
SUGAR LAND, TX 77479
Fort Bend County (281) 274-7000
RUBA MEMON
Internal Medicine (Rheumatology)
16811 SOUTHWEST FWY STE 300
SUGAR LAND, TX 77479
Fort Bend County (281) 980-2717
DR. YAMUNA POORNIMA JALADANKI M.D
Family Medicine
16811 SOUTHWEST FWY STE 300
SUGAR LAND, TX 77479
Fort Bend County (281) 276-0836
DR. CULLEN ANDREW HEBERT MD
Specialist
16811 SOUTHWEST FWY STE 300
SUGAR LAND, TX 77479
Fort Bend County (281) 274-8050
DR. SRILAKSHMI TIRUKKOVALLURI M.D.
Hospitalist
16811 SOUTHWEST FWY STE 300
SUGAR LAND, TX 77479
Fort Bend County (281) 276-0836
MS. MAHPARA BUSHRA KHALIQ M.D.
Hospitalist
16811 SOUTHWEST FWY STE 300
SUGAR LAND, TX 77479
Fort Bend County (281) 276-0836
OMAD ULLAH M.D.
Internal Medicine
16811 SOUTHWEST FWY STE 300
SUGAR LAND, TX 77479
Fort Bend County (281) 276-0836
DR. AMMAAR AZEEM DO
Hospitalist
16811 SOUTHWEST FWY STE 300
SUGAR LAND, TX 77479
Fort Bend County (281) 276-0836

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 Hiba El-qaddoumi's NPI number?

The NPI number for Hiba El-qaddoumi is 1740560705. It was assigned to this individual provider in the NPPES registry on August 23, 2011.

Where is Hiba El-qaddoumi located?

Hiba El-qaddoumi practices at 16811 Southwest Fwy Ste 300, Sugar Land, TX 77479. The listed phone number is (281) 274-8050.

What is Hiba El-qaddoumi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Hiba El-qaddoumi enrolled in Medicare?

Yes. Hiba El-qaddoumi 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 Hiba El-qaddoumi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hiba El-qaddoumi reassigns Medicare benefits to 6 organizations: Houston Methodist Specialty Physicians (Houston, TX), Tmh Physician Associates PLLC (Houston, TX), Hni Medical Services (Austin, TX), Copiah County Medical Center (Hazlehurst, MS), Greenwood Leflore Hospital (Greenwood, MS) and 1 more organization, listed in the Medicare section above. 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 Hiba El-qaddoumi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hiba El-qaddoumi accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Hiba El-qaddoumi 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 Hiba El-qaddoumi affiliated with any hospitals?

According to CMS data, Hiba El-qaddoumi is affiliated with Thibodaux Regional Medical Center, Houston Methodist Sugarland Hospital and Rice Medical Center.

When was this NPI record last updated?

The NPPES record for Hiba El-qaddoumi was last updated on March 17, 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.