Active NPI
Abdurrahman Akhlaq Husain, MD
- Pulmonary Disease Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A154096
- Practice address
- 8555 Aero Dr Ste 104
San Diego, CA 92123-1744 - Phone
- (858) 650-5039
- Fax
- (858) 650-5039
- NPI assigned
- Jul 4, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A154096 | CA | Primary |
Addresses
Primary practice location
8555 Aero Dr Ste 104
San Diego, CA 92123-1744
Mailing address
8555 Aero Dr Ste 104
San Diego, CA 92123-1744
Phone (858) 650-5039
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahusain827841@direct.sw.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 Gaston Ave
Suite 960
Dallas, TX 75246-1909
Phone (469) 800-7686
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A154096 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Baylor University Medical Center | Past | Accepting new patients |
Locations
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
3600 Gaston Ave
Ste 960
Dallas, TX 75246
Phone (214) 820-5630
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742
Interoperability endpoints
- abdurrahman.husain.1@18822.direct.athenahealth.com
- abdurrahman.hussain.p48@direct.tenet.nextgenshare.com
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
dba Baylor Scott & White Heart and Vascular Hospital - Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1609855139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1093198392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8555 AERO DR STE 104",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231744",
"telephone_number": "858-650-5039",
"fax_number": "858-650-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8555 AERO DR STE 104",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231744",
"telephone_number": "858-650-5039",
"fax_number": "858-650-5039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSAIN",
"first_name": "ABDURRAHMAN",
"middle_name": "AKHLAQ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-04",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A154096",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahusain827841@direct.sw.org",
"affiliation": "N",
"address_1": "3600 Gaston Ave Ste 960",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752461909",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.