Active NPI
Kashif Hussain, M.D.
- Pulmonary Disease Physician
- Southampton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 13376
- Practice address
- 325 Meeting House LN Ste 302
Southampton, NY 11968-7000 - Phone
- (631) 283-8008
- Fax
- (631) 283-8870
- NPI assigned
- Feb 9, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 289120 | NY | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 24577 | WV | |
| Pulmonary Disease Physician | 207RP1001X | 13376 | NH | Primary |
Addresses
Primary practice location
325 Meeting House LN Ste 302
Southampton, NY 11968-7000
Mailing address
325 Meeting House LN Ste 302
Southampton, NY 11968-7000
Phone (631) 283-8008
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30207189 | Medicaid | NH | |
| 209000801 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KASHIF.HUSSAIN@DIRECT.STONYBROOKMEDICINE.EDU |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
325 Meeting House LN
Suite 302
Southampton, NY 11968-7000
Phone (631) 283-8008
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289120 | NY | MD | Internal Medicine Physician |
| 24577 | WV | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meeting House Lane Medical Practice PC | Internal Medicine | Current | Accepting new patients |
| Poplar Bluff Hma Physician Management, LLC | Past | Accepting new patients | |
| Haven Hills Medical Clinic | Internal Medicine | Past | Accepting new patients |
Locations
57 Hampton Rd
Ste 201
Southampton, NY 11968
Phone (631) 283-1126
325 Meeting House Ln
Ste 302
Southampton, NY 11968
Phone (631) 283-8008
325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- kashif.hussain@direct.stonybrookmedicine.edu
- kashif.hussain.p1@direct.shproviders.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.
-
- Internal Medicine Physician
- Southampton, NY
- NPI 1902088495
-
- Internal Medicine Physician
- Poplar Bluff, MO
- NPI 1750469763
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1598710147
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1154462513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MEETING HOUSE LN STE 302",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119687000",
"telephone_number": "631-283-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MEETING HOUSE LN STE 302",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119687000",
"telephone_number": "631-283-8008",
"fax_number": "631-283-8870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "KASHIF",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "289120",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WV",
"license": "24577",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NH",
"license": "13376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30207189",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209000801",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "KASHIF.HUSSAIN@DIRECT.STONYBROOKMEDICINE.EDU",
"affiliation": "N",
"address_1": "325 Meeting House Ln Ste 302",
"city": "Southampton",
"state": "NY",
"country_code": "US",
"postal_code": "119687000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Southampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.