Husam Hamed, M.D.
Individual provider Active NPI Family Medicine Physician · Fairfield Township, OH
NPI 1073550786 · NPPES record last updated Mar 9, 2021
Key facts
- NPI
- 1073550786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35079659 (OH)
- Practice address
- 3035 Hamilton Mason Rd Ste 203
Fairfield Township, OH 45011-5545 - Phone
- (513) 741-7200
- Fax
- (513) 741-1977
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 11
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medicine Inpatient Group LLC
Practice addresses (Care Compare)
1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 974-2111
Hospital & facility affiliations
- Gem City Home Care, LLC
- Hospice of Cincinnati, Inc
- Queen City Hospice
- Crossroads Hospice of Cincinnati, LLC
- Hospice of Southwest Ohio, Inc
- Adena Fayette Medical Center
- Chesterwood Atc
- Jamestowne Rehabilitation
- Berkeley Square Retirement Cen
- Westover Retirement Community
- Heritagespring Healthcare Center of West Chester
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Berkeley Square Retirement Community |
Skilled nursing facility | Adp of the SNF | Jul 1, 2021 |
| Westover Retirement Community |
Skilled nursing facility | Adp of the SNF | Jul 1, 2021 |
| Jamestowne Rehabilitation |
Skilled nursing facility | Adp of the SNF | Jul 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041027001326 | OH | Practitioner - Family Practice | 3870555329 | Reassigns benefits to 2 organizations |
| I20041214001012 | KY | Practitioner - Family Practice | 3870555329 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35079659 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medicine Inpatient Group, LLC | Family Medicine | Current |
Accepting new patients |
| Trihealth G LLC | Family Medicine | Current |
Accepting new patients |
| Trihealth G, LLC | Current |
Accepting new patients | |
| Trihealth G LLC | Family Medicine | Past | Accepting new patients |
| CHS - Huntington, Inc | Past | Accepting new patients | |
| University of Cincinnati Physicians Company, LLC | Family Medicine | Past | Accepting new patients |
| Colonial Senior Services Inc | Past | Accepting new patients | |
| Colonial Senior Services, Inc. | Past | Accepting new patients | |
| Heritagespring Health Care Center | Past | Accepting new patients | |
| Mercy Health Urgent Care LLC | Family Medicine | Past |
Accepting new patients |
| Chesterwood Nursing Care, LTD. | Past | Accepting new patients | |
| Colonial Senior Services, Inc. | Past | Accepting new patients |
Locations
300 Plaza Dr
Cold Spring, KY 41076
Phone (859) 341-2044
4250 Glenn Ave
Covington, KY 41015
Phone (859) 371-5731
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
3035 Hamilton Mason Rd
Ste 203
Fairfield Township, OH 45011
Phone (513) 741-7200
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
1371 Main St
Hamilton, OH 45013
Phone (513) 259-4038
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36543 | KY | |
| Family Medicine Physician | 207Q00000X | 35079659 | OH | Yes |
Addresses
Primary practice location
3035 Hamilton Mason Rd Ste 203
Fairfield Township, OH 45011-5545
Mailing address
3645 Stonecreek Blvd Unit E
Cincinnati, OH 45251-1469
Phone (513) 687-0500
Other practice location 1
3645 Stonecreek Blvd Unit E
Cincinnati, OH 45251-1469
Phone (513) 687-0500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64038581 | Medicaid | KY | |
| 2565399 | Medicaid | OH | |
| 2293825 | Medicaid | OH |
NPI Registry JSON
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1073550786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3645 STONECREEK BLVD UNIT E",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452511469",
"telephone_number": "513-687-0500",
"fax_number": "513-598-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 HAMILTON MASON RD STE 203",
"city": "FAIRFIELD TOWNSHIP",
"state": "OH",
"postal_code": "450115545",
"telephone_number": "513-741-7200",
"fax_number": "513-741-1977"
}
],
"practiceLocations": [
{
"address_1": "3645 Stonecreek Blvd Unit E",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452511469",
"country_code": "US",
"telephone_number": "513-687-0500",
"fax_number": "513-598-1107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMED",
"first_name": "HUSAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "36543",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35079659",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64038581",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2565399",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2293825",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield Township, OH
- Melissa Nichole Gregory
- Katherine Gross
- Katherine Guckenberger
- Tieka Guilliams
- Janique Hall
- Hamilton Nursing
- Hamilton SNF Opco LLC
- Madyson Faye Harbaum
- Kelsey Marie Harlow
- Rebecca Lyn Harness
All providers in Fairfield Township, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.