Individual provider Active NPI

Kashif Hussain, M.D.

  • Pulmonary Disease Physician
  • Southampton, NY
National Provider Identifier
1154462513
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
13376 Issued in NH
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

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30207189MedicaidNH
209000801MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KASHIF.HUSSAIN@DIRECT.STONYBROOKMEDICINE.EDU

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111018000009 WV Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 1355395062
I20171012000042 NY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1355395062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meeting House Lane Medical Practice PCGroup PAC ID 6800972589, 125 clinicians

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 Hospital, Stony Brook, NY, CCN 330393

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289120NYMDInternal Medicine Physician
24577WVMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meeting House Lane Medical Practice PC Internal Medicine CurrentSince Oct 23, 2017 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

  • Direct secure messaging: kashif.hussain@direct.stonybrookmedicine.edu
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.