Individual provider Active NPI

Hussain A Khawaja, MD

  • Cardiovascular Disease Physician
  • Troy, NY
National Provider Identifier
1154422236
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
233540 Issued in NY
Practice address
258 Hoosick St Ste 107
Tri-City Cardiology Care, PLLC
Troy, NY 12180-2471
Phone
(518) 326-8183
Fax
(518) 326-8185
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A75391 CA
Cardiovascular Disease Physician 207RC0000X 233540 NY Primary
Interventional Cardiology Physician 207RI0011X 233540 NY

Addresses

Primary practice location

258 Hoosick St Ste 107
Tri-City Cardiology Care, PLLC
Troy, NY 12180-2471

Mailing address

258 Hoosick St Ste 107
Tri-City Cardiology Care, PLLC
Troy, NY 12180-2471
Phone (518) 326-8183

Other identifiers 3

IdentifierTypeStateIssuer
03241632MedicaidNY
1018300MedicaidVT
110087294AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100908000922 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 1052436466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

258 Hoosick St
Suite 107
Troy, NY 12180-2471
Phone (518) 326-8183

Hospital & facility affiliations

  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

Merit-based Incentive Payment System (MIPS)

Final score
92.93 of 100Reported as individual
Quality
79.13
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75391CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Cardiology Care, PLLC Cardiovascular Disease CurrentSince Jul 22, 2013 Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients

Locations

258 Hoosick St
Ste 107
Troy, NY 12180
Phone (518) 322-5295

Organizations & group practices 2

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 9

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1154422236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HOOSICK ST STE 107",
            "address_2": "TRI-CITY CARDIOLOGY CARE, PLLC",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802471",
            "telephone_number": "518-326-8183",
            "fax_number": "518-326-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 HOOSICK ST STE 107",
            "address_2": "TRI-CITY CARDIOLOGY CARE, PLLC",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802471",
            "telephone_number": "518-326-8183",
            "fax_number": "518-326-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAWAJA",
        "first_name": "HUSSAIN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A75391",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "233540",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "233540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03241632",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018300",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110087294A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.