Individual provider Active NPI

Andalib Hossain, M.D.

  • Hospitalist Physician
  • Scranton, PA
National Provider Identifier
1063073492
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
65389 Issued in TN
Practice address
111 North Washington Avenue
Suite 1
Scranton, PA 18503
Phone
(570) 343-2383
NPI assigned
Jun 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2024047457 MO
Hospitalist Physician 208M00000X 65389 TN Primary

Addresses

Primary practice location

111 North Washington Avenue
Suite 1
Scranton, PA 18503

Mailing address

99 Gorge Road
Suite 1010
Edgewater, NJ 07020

Other practice location 1

1400 US Highway 61
Festus, MO 63028-4100
Phone (636) 933-5337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO, ME, WI4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240116000652 FL Practitioner - Internal Medicine 9335477355 Reassigns benefits to 1 organization
I20250117002395 MO Practitioner - Internal Medicine 9335477355 Reassigns benefits to 2 organizations
I20260330000721 ME Practitioner - Internal Medicine 9335477355 Reassigns benefits to 1 organization
I20260603004001 WI Practitioner - Emergency Medicine 9335477355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Duke University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pines Health ServicesGroup PAC ID 0749275113, 58 clinicians
Dunn Physician Services LLCGroup PAC ID 0345787578, 44 clinicians
The Monroe Clinic, Inc.Group PAC ID 3072425495, 199 clinicians

Practice addresses (Care Compare)

163 Van Buren Rd
Caribou, ME 04736-3567
Phone (207) 498-6921

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4000

515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000

Hospital & facility affiliations

  • Research Medical Center Hospital, Kansas City, MO, CCN 260027
  • Cary Medical Center Hospital, Caribou, ME, CCN 200031
  • Cass Regional Medical Center Hospital, Harrisonville, MO, CCN 261324
  • Golden Valley Memorial Hospital Hospital, Clinton, MO, CCN 260175
  • The Monroe Clinic Hospital, Monroe, WI, CCN 520028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Adult Hospitalists- Jefferson, LLC Internal Medicine CurrentSince Jul 14, 2025 Accepting new patients
Deerfield Beach Physician Services, LLC Internal Medicine CurrentSince Dec 11, 2023 Accepting new patients
Dunn Physician Services, LLC Hospitalist CurrentSince Dec 20, 2024 Accepting new patients
Midwest Division - RMC, LLC Past Accepting new patients

Locations

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

200 Corporate Blvd
Lafayette, LA 70508

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1063073492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 GORGE ROAD",
            "address_2": "SUITE 1010",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "07020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTH WASHINGTON AVENUE",
            "address_2": "SUITE 1",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18503",
            "telephone_number": "570-343-2383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 US Highway 61",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630284100",
            "country_code": "US",
            "telephone_number": "636-933-5337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSSAIN",
        "first_name": "ANDALIB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2024047457",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "65389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.