Individual provider Active NPI

Usama Taha Hussein, MD

  • Nephrology Physician
  • Virginia Beach, VA
National Provider Identifier
1194907527
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101248713 Issued in VA
Practice address
1800 Camelot Dr Ste 401
Virginia Beach, VA 23454-2440
Phone
(757) 496-3706
NPI assigned
Nov 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101248713 VA Primary

Addresses

Primary practice location

1800 Camelot Dr Ste 401
Virginia Beach, VA 23454-2440

Mailing address

1800 Camelot Dr Ste 401
Virginia Beach, VA 23454-2440
Phone (757) 496-3706

Other identifiers 3

IdentifierTypeStateIssuer
5921330MedicaidNC
1194907527OtherVABCBS
1194907527MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110708000012 VA Practitioner - Internal MedicinePractitioner - Nephrology 8527123710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Tidewater LTDGroup PAC ID 3173426558, 24 clinicians

Practice addresses (Care Compare)

1800 Camelot Dr
Suite 401
Virginia Beach, VA 23454-2440
Phone (757) 496-3706

301 Riverview Ave
Suite 600
Norfolk, VA 23510-1065
Phone (757) 627-7301

Hospital & facility affiliations

  • Virginia Beach Home Dialysis Dialysis facility, Virginia Beach, VA, CCN 492679
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Riverside Shore Memorial Hospital Hospital, Onancock, VA, CCN 490037
  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101248713VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Tidewater LTD Nephrology CurrentSince May 15, 2013 Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients

Locations

6160 Kempsville Cir
Ste 302A
Norfolk, VA 23502
Phone (757) 466-9288

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

301 Riverview Ave
Ste 600
Norfolk, VA 23510
Phone (757) 627-7301

1800 Camelot Dr
Ste 401
Virginia Beach, VA 23454
Phone (757) 496-3705

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0000397
  • Direct secure messaging: usamahussein@natltd.allscriptsdirect.net

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 7

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": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1194907527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CAMELOT DR STE 401",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542440",
            "telephone_number": "757-496-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CAMELOT DR STE 401",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542440",
            "telephone_number": "757-496-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "USAMA",
        "middle_name": "TAHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101248713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921330",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1194907527",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194907527",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.