NPIMap

Individual provider Active NPI

Kamran Hussaini, M.D.

  • Hospitalist Physician
  • Greenville, IL
National Provider Identifier
1215347125
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036.142642 Issued in IL
Practice address
200 Health Care Dr
Greenville, IL 62246-1154
Phone
(618) 664-1230
NPI assigned
Apr 30, 2014
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 036.142642 IL
Hospitalist Physician 208M00000X 2018003023 MO
Hospitalist Physician 208M00000X 036.142642 IL Primary

Addresses

Primary practice location

200 Health Care Dr
Greenville, IL 62246-1154

Mailing address

1402 S. Grand
FDT 12TH Floor
St. Louis, MO 63104
Phone (314) 977-6100

Other practice location 1

1402 S. Grand
FDT 14th Floor
St. Louis, MO 63104
Phone (314) 977-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170515000418 IL Practitioner - HospitalistPractitioner - Internal Medicine 5597067918 Reassigns benefits to 3 organizations
I20181010003643 MO Practitioner - Internal MedicinePractitioner - Hospitalist 5597067918 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physician Group Missouri LLCGroup PAC ID 4082958574, 18 clinicians
Impact Physician Group Illinois LLCGroup PAC ID 3870838428, 7 clinicians

Practice addresses (Care Compare)

1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 465-2571

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

10 Hospital Dr
FL 3
Saint Peters, MO 63376-1659
Phone (314) 658-3800

100 Medical PLZ
FL 5
Lake Saint Louis, MO 63367-1366
Phone (636) 755-6500

10114 Kennerly Rd
Saint Louis, MO 63128-2183
Phone (314) 948-2000

12380 Depaul Dr
Bridgeton, MO 63044-2511
Phone (314) 447-9700

3402 Anderson Healthcare Dr
Edwardsville, IL 62025-7712
Phone (618) 307-7900

4455 Duncan Ave
Saint Louis, MO 63110-1111
Phone 31465838004154

998 Woods Mill Rd
The Rehab Institute of St. Louis We
Ballwin, MO 63011-5101
Phone (636) 594-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
81.81

Merit-based Incentive Payment System (MIPS)

Final score
65.77 of 100Reported as individual
Quality
93.8
Improvement activities
0
Cost
79.98

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.142642ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Illinois SNF, LLP Internal Medicine CurrentSince Jan 6, 2021 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Cep America - Illinois SNF LLP Internal Medicine CurrentSince Jan 6, 2021 Accepting new patients
Cep America - Illinois SNF, LLP Internal Medicine Current Accepting new patients
In Charge Medical Professionals LLC Internal Medicine CurrentSince Jun 3, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Dec 1, 2019 Accepting new patients
Impact Physician Group, Illinois LLC Internal Medicine CurrentSince Aug 10, 2021 Accepting new patients
Galen Inpatient Physicians PC. Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Jul 1, 2017 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine Current Accepting new patients
Impact Physician Group, Missouri, LLC Internal Medicine CurrentSince Nov 18, 2018 Accepting new patients
Intensiva Hospital of Greater St. Louis Inc Past Accepting new patients
Mercy Rehabilitation Hospital South LLC Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

3402 Anderson Healthcare Dr
Edwardsville, IL 62025
Phone (618) 307-7900

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

1936 Brookdale Rd
Naperville, IL 60563
Phone (630) 390-5597

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

115 E South St
Ste F
Plano, IL 60545
Phone (630) 551-3666

12380 De Paul Dr
Bridgeton, MO 63044
Phone (314) 447-9700

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

10018 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-4412

1027 Bellevue Ave
Saint Louis, MO 63117
Phone (314) 768-5202

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800

4930 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 361-8700

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 8

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1215347125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S. GRAND",
            "address_2": "FDT 12TH FLOOR",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63104",
            "telephone_number": "314-977-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH CARE DR",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461154",
            "telephone_number": "618-664-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 S. Grand",
            "address_2": "FDT 14th Floor",
            "address_purpose": "LOCATION",
            "city": "St. Louis",
            "state": "MO",
            "postal_code": "63104",
            "country_code": "US",
            "telephone_number": "314-977-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAINI",
        "first_name": "KAMRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.142642",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2018003023",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.142642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, IL

Sources for this page

Verify at the official NPI Registry.