Individual provider Active NPI

Hussam Farhoud, M.D.

  • Interventional Cardiology Physician
  • Wichita, KS
National Provider Identifier
1144287574
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
04-27437 Issued in KS
Practice address
3535 N Webb Rd
Wichita, KS 67226-8127
Phone
(316) 686-5300
Fax
(316) 651-2660
NPI assigned
Apr 28, 2006
Last updated
Oct 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-27437 KS
Cardiovascular Disease Physician 207RC0000X 04-27437 KS
Interventional Cardiology Physician 207RI0011X 04-27437 KS Primary
Nuclear Cardiology Physician 207UN0901X 04-27437 KS

Addresses

Primary practice location

3535 N Webb Rd
Wichita, KS 67226-8127

Mailing address

3535 N Webb Rd
Wichita, KS 67226-8127
Phone (316) 686-5300

Other identifiers 4

IdentifierTypeStateIssuer
100121680OMedicaidKS
100325150NMedicaidKS
P01168074OtherKSRAILROAD MEDICARE
100189770AMedicaidOK

Other names 1

  • Dr. Mohamed Hussam Farhoud Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20041028000684 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 9133181555 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartland Cardiology, LLCGroup PAC ID 1254646789, shared by 2 NPIs, 27 clinicians

Practice addresses (Care Compare)

3535 N Webb Rd
Wichita, KS 67226-8127
Phone (316) 686-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.87 of 100Reported as group
Quality
77.51
Promoting interoperability
98
Improvement activities
40
Cost
77.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting108
Pacemaker insertion or repair124
Leg revascularization (restoring blood flow)17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-27437KSMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Cardiology, LLC CurrentSince Jul 1, 2015 Accepting new patients
Heartland Cardiology, LLC Internal Medicine CurrentSince Jul 11, 2015 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Jul 1, 2000 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Jul 1, 2000 Accepting new patients
Line Medical Inc Past Accepting new patients
Wichita ASC LP Past Accepting new patients
Wesley Medical Center LLC Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Internal Medicine Past Accepting new patients

Locations

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

1719 E Cambridge St
Ste 101
Derby, KS 67037
Phone (316) 686-5300

1525 N Main St
Newton, KS 67114
Phone (316) 686-5300

700 Medical Center Dr
Newton, KS 67114
Phone (316) 283-7100

3535 N Webb Rd
Wichita, KS 67226
Phone (316) 260-4491

3555 N Webb Rd
Ste A
Wichita, KS 67226
Phone (316) 351-5934

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

551 N Hillside St
Ste 410
Wichita, KS 67214
Phone (316) 686-5300

9000 W Central Ave
Wichita, KS 67212
Phone (316) 686-5300

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
  • Direct secure messaging: hussam.farhoud@khindirect.org
  • Direct secure messaging: hussam.farhoud@ushv.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas Medical CenterAndover, KS, CCN 170197 Hospital 5% Or Greater Direct Ownership Interest (7.5%) Aug 30, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1144287574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268127",
            "telephone_number": "316-686-5300",
            "fax_number": "316-651-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268127",
            "telephone_number": "316-686-5300",
            "fax_number": "316-651-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHOUD",
        "first_name": "HUSSAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-27437",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-27437",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KS",
            "license": "04-27437",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "KS",
            "license": "04-27437",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100121680O",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100325150N",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01168074",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100189770A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMED",
            "last_name": "FARHOUD",
            "middle_name": "HUSSAM",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.