Active NPI
Aneela N. Hussain, M.D.
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1003800186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T0810
- Practice address
- 4610 E Southcross Blvd
San Antonio, TX 78222-4914 - Phone
- (210) 648-1491
- NPI assigned
- Sep 6, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 219605-1 | NY | |
| Family Medicine Physician | 207Q00000X | T0810 | TX | Primary |
Addresses
Primary practice location
4610 E Southcross Blvd
San Antonio, TX 78222-4914
Mailing address
312 Tulorosa RDG
Helotes, TX 78023-4508
Phone (210) 629-9972
Other practice location 1
450 Clarkson Ave
Suite B
Brooklyn, NY 11203-2056
Phone (718) 270-2697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02232608 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aneela.hussain@va.gov | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210629003042 | TX | Order and Referring Only - Family Practice | 0143621011 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219605-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians of Brooklyn, Inc | Past | Accepting new patients | |
| Suny Downstate Medical Center | Past | Accepting new patients | |
| University Physicians of Brooklyn | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1124075049
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1104878180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620518400000",
"number": "1003800186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 TULOROSA RDG",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234508",
"telephone_number": "210-629-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 E SOUTHCROSS BLVD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782224914",
"telephone_number": "210-648-1491"
}
],
"practiceLocations": [
{
"address_1": "450 Clarkson Ave",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032056",
"country_code": "US",
"telephone_number": "718-270-2697",
"fax_number": "718-270-2653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUSSAIN",
"first_name": "ANEELA",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-06",
"last_updated": "2021-05-09",
"certification_date": "2021-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "219605-1",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T0810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02232608",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aneela.hussain@va.gov",
"affiliation": "N",
"endpointDescription": "official work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4610 E Southcross Blvd",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782224914",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.