Individual provider Active NPI

Raya H Hussain, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1093817603
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RH065327 Issued in MI
Practice address
10066 Dix
Dearborn, MI 48120-1551
Phone
(313) 849-4949
Fax
(313) 849-0469
NPI assigned
Sep 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X RH065327 MI Primary

Addresses

Primary practice location

10066 Dix
Dearborn, MI 48120-1551

Mailing address

10066 Dix
Dearborn, MI 48120-1551
Phone (313) 849-4949

Other identifiers 3

IdentifierTypeStateIssuer
4182420MedicaidMI
383512406OtherMIFED TAX ID
1108272632OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120803000437 MI Practitioner - Internal Medicine 1153577382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dearborn Healthcare PCGroup PAC ID 6608162516, 2 clinicians

Practice addresses (Care Compare)

10066 Dix
Dearborn, MI 48120-1551
Phone (313) 849-4949

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RH065327MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dearborn Healthcare PC Multi-Specialty CurrentSince Aug 9, 2016 Accepting new patients

Locations

10066 Dix
Dearborn, MI 48120
Phone (313) 843-2400

Interoperability endpoints

  • Direct secure messaging: rhussain364753@direct.hfhs.org

Organizations & group practices 1

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 3

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093817603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10066 DIX",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201551",
            "telephone_number": "313-849-4949",
            "fax_number": "313-849-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10066 DIX",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201551",
            "telephone_number": "313-849-4949",
            "fax_number": "313-849-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "RAYA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "RH065327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4182420",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "383512406",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1108272632",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.