Active NPI
Fatima Hussain, M.D.
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1144660440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036.139995
- Practice address
- 181 W Madison St Ste 4550
Chicago, IL 60602-4636 - Phone
- (312) 641-2586
- NPI assigned
- Jul 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-45570 | IA | |
| Family Medicine Physician | 207Q00000X | 19174 | NH | |
| Family Medicine Physician | 207Q00000X | 57277 | AZ | |
| Family Medicine Physician | 207Q00000X | 64519 | MN | |
| Family Medicine Physician | 207Q00000X | CDR.0000196 | CO | |
| Family Medicine Physician | 207Q00000X | 31177 | NE | |
| Family Medicine Physician | 207Q00000X | 04-41426 | KS | |
| Family Medicine Physician | 207Q00000X | 28467 | WV | |
| Family Medicine Physician | 207Q00000X | 234-320 | WI | |
| Family Medicine Physician | 207Q00000X | 15969 | ND | |
| Family Medicine Physician | 207Q00000X | D88183 | MD | |
| Family Medicine Physician | 207Q00000X | 036.139995 | IL | Primary |
Addresses
Primary practice location
181 W Madison St Ste 4550
Chicago, IL 60602-4636
Mailing address
181 W Madison St Ste 4550
Chicago, IL 60602-4636
Phone (312) 641-2586
Other practice location 1
127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7000
Other practice location 2
127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57277 | AZ | MD | Family Medicine Physician |
| CDR.0000196 | CO | MD | Family Medicine Physician |
| MD-45570 | IA | MD | Family Medicine Physician |
| 036.139995 | IL | MD | Family Medicine Physician |
| 04-41426 | KS | MD | Family Medicine Physician |
| D88183 | MD | MD | Family Medicine Physician |
| 64519 | MN | MD | Family Medicine Physician |
| 15969 | ND | MD | Family Medicine Physician |
| 31177 | NE | MD | Family Medicine Physician |
| 19174 | NH | MD | Family Medicine Physician |
| 234-320 | WI | MD | Family Medicine Physician |
| 28467 | WV | MD | Family Medicine Physician |
Interoperability endpoints
- fatima.hussain.p1@direct.saintjosephs.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1144660440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 W MADISON ST STE 4550",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606024636",
"telephone_number": "312-641-2586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W MADISON ST STE 4550",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606024636",
"telephone_number": "312-641-2586"
}
],
"practiceLocations": [
{
"address_1": "127 S Broadway",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107014006",
"country_code": "US",
"telephone_number": "914-378-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "127 S Broadway",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107014006",
"country_code": "US",
"telephone_number": "914-378-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUSSAIN",
"first_name": "FATIMA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-01",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "MD-45570",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "19174",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "57277",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "64519",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "CDR.0000196",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "31177",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-41426",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "28467",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "234-320",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "15969",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D88183",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.139995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.