Organization Active NPI

Syed Mansoor Hussaini MD PA

  • Neurology Physician
  • Rockwall, TX
National Provider Identifier
1053776856
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
Q1832 Issued in TX
Legal business name
SYED MANSOOR HUSSAINI MD PA
Practice address
6701 Heritage Pkwy Ste 165
Rockwall, TX 75087-8700
Phone
(469) 786-5890
Fax
(469) 786-5780
NPI assigned
Dec 21, 2015
Last updated
Jan 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Syed Mansoor Hussaini, MD, MPHNPI 1881880714
Title
Director
Phone
(469) 615-1183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Q1832 TX Primary

Addresses

Primary practice location

6701 Heritage Pkwy Ste 165
Rockwall, TX 75087-8700

Mailing address

PO Box 453202
Garland, TX 75045-3202
Phone (469) 615-1183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160506001485 TX Part B Supplier - Clinic/Group Practice 8224333406 Receives reassigned benefits from 4 practitioners
Practice locations: Rockwall, TX; Rowlett, TX

National Provider Directory

National Provider Directory

Locations

7700 Lakeview Pkwy
Ste 400B
Rowlett, TX 75088
Phone (469) 786-5890

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1053776856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453202",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750453202",
            "telephone_number": "469-615-1183",
            "fax_number": "469-786-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 HERITAGE PKWY STE 165",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878700",
            "telephone_number": "469-786-5890",
            "fax_number": "469-786-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED MANSOOR HUSSAINI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "HUSSAINI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "MANSOOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-615-1183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q1832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.