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DR. HAISSAM SOHAIL ELZAIM MD, PHD
NPI 1972723583
Orthopaedic Surgery in Edinburg, TX

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment
82.78/100
CMS Quality Rating
315 E MARK S PENA DR STE B, EDINBURG, TX 78539(956) 362-6890(956) 362-6895 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 27, 2023, Jul 23, 2019, May 16, 2017 (3 updates tracked since 2017).

About Dr. Haissam Sohail Elzaim Md, Phd NPPES

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

DR. HAISSAM SOHAIL ELZAIM MD, PHD (NPI 1972723583) is an individual orthopaedic surgery provider in Edinburg, Texas, licensed in Texas (M6120) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of University Of Texas Medical Branch At Galveston (2002).

NPPES Registry Identity

NPI1972723583
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. HAISSAM SOHAIL ELZAIMCredential: MD, PHD
Location Address315 E MARK S PENA DR STE BEdinburg, TX 78539-6304
Mailing AddressPo Box 4624Mcallen, TX 78502-4624 · (956) 362-6890 · Fax (956) 362-6895
Phone(956) 362-6890
Fax(956) 362-6895
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2002
Enumeration DateApril 26, 2007
Last NPPES UpdateMarch 27, 20233 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1972723583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · M6120
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
315 E MARK S PENA DR STE B, Edinburg, TX 78539
Open in Google Maps ↗

Other Identifiers 1

Medicaid192195904TX

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. Haissam Sohail Elzaim Md, Phd 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 ID7810074036
PECOS Enrollment IDI20080411000201
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 Reassignment

Medicare enrollment records show Haissam Elzaim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Renaissance Providers
2.2 mi
Orthopaedic Surgery
5501 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 18 clinicians in this Medicare group
NPI 1336577477 (956) 362-2171

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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services66 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
60 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
40 services27 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
30 services21 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
16 services12 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

82.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.52
Improvement Activities40

Other Providers at the Same Location NPPES

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

MR. LEE JAMES RIVERA
Physician Assistant (Surgical)
315 E MARK S PENA DR STE B
EDINBURG, TX 78539
Hidalgo County (956) 362-6890

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 Haissam Elzaim's NPI number?

The NPI number for Haissam Elzaim is 1972723583. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Haissam Elzaim located?

Haissam Elzaim practices at 315 E Mark S Pena Dr Ste B, Edinburg, TX 78539. The listed phone number is (956) 362-6890.

What is Haissam Elzaim's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Haissam Elzaim enrolled in Medicare?

Yes. Haissam Elzaim 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 organization bills Medicare for Haissam Elzaim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haissam Elzaim reassigns Medicare benefits to Renaissance Providers (Edinburg, TX). The 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 Haissam Elzaim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haissam Elzaim 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 2 other insurers list Haissam Elzaim 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 Haissam Elzaim affiliated with any hospitals?

According to CMS data, Haissam Elzaim is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Haissam Elzaim was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.