Individual provider Active NPI

Hussein Aboul-Hosn, MD

  • Internal Medicine Physician
  • Bellefonte, PA
National Provider Identifier
1194790147
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0347770E Issued in PA
Practice address
Bellefonte Medical Clinic
527 Willowbank St
Bellefonte, PA 16823
Phone
(814) 353-3337
Fax
(814) 353-3327
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0347770E PA Primary

Addresses

Primary practice location

Bellefonte Medical Clinic
527 Willowbank St
Bellefonte, PA 16823

Mailing address

PO Box 517
Hazleton, PA 18201-0517
Phone (570) 450-6200

Other identifiers 1

IdentifierTypeStateIssuer
0010519440004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20091002000211 PA Practitioner - Internal Medicine 7719023894

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0347770EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellefonte Medical Clinic P.C. Internal Medicine CurrentSince Aug 21, 1986 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

527 Willowbank St
Bellefonte, PA 16823
Phone (814) 353-3337

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1194790147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182010517",
            "telephone_number": "570-450-6200",
            "fax_number": "570-450-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BELLEFONTE MEDICAL CLINIC",
            "address_2": "527 WILLOWBANK ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "16823",
            "telephone_number": "814-353-3337",
            "fax_number": "814-353-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUL-HOSN",
        "first_name": "HUSSEIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD0347770E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010519440004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

Verify at the official NPI Registry.