Active NPI
Asif Husain, M.D.
- Surgery Physician
- Euless, TX
National Provider Identifier
1013924497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G4311
- Practice address
- 2275 Westpark CT
Suite # 101
Euless, TX 76040-3999 - Phone
- (817) 354-0052
- Fax
- (817) 354-9222
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G4311 | TX | Primary |
Addresses
Primary practice location
2275 Westpark CT
Suite # 101
Euless, TX 76040-3999
Mailing address
2275 Westpark CT
Suite # 101
Euless, TX 76040-3999
Phone (817) 354-0052
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032217401 | Medicaid | TX | |
| OOBD813 | Other | TX | BLUE CROSS & BLUE SHIELD |
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 |
|---|---|---|---|---|
| I20110113000531 | TX | Practitioner - General Surgery | 8325237944 | Practice locations: Southlake, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4311 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013924497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 WESTPARK CT",
"address_2": "SUITE # 101",
"city": "EULESS",
"state": "TX",
"postal_code": "760403999",
"telephone_number": "817-354-0052",
"fax_number": "817-354-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 WESTPARK CT",
"address_2": "SUITE # 101",
"city": "EULESS",
"state": "TX",
"postal_code": "760403999",
"telephone_number": "817-354-0052",
"fax_number": "817-354-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSAIN",
"first_name": "ASIF",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "G4311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032217401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "OOBD813",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Euless, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.