Individual provider Active NPI

Azra H Hussaini, M.D.

  • Internal Medicine Physician
  • Lutherville, MD
National Provider Identifier
1245343987
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D52913 Issued in MD
Practice address
11602 Greenspring Ave
Lutherville, MD 21093-1410
Phone
(410) 497-6927
Fax
(833) 989-0960
NPI assigned
Aug 16, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 D52913 MD Primary

Addresses

Primary practice location

11602 Greenspring Ave
Lutherville, MD 21093-1410

Mailing address

PO Box 1416
Brooklandville, MD 21022-1416
Phone (410) 497-6927

Other identifiers 2

IdentifierTypeStateIssuer
D52913OtherMDLICENSE
M44595OtherMDCDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20161228001246 MD Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Family Practice 2961578208 Reassigns benefits to 3 organizations
I20201222000087 DC Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2961578208

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Jeffrey D. Gaber and Associates, P.a.Group PAC ID 5991748931, 9 clinicians
Express Clinic LLCGroup PAC ID 3577979038, 2 clinicians

Practice addresses (Care Compare)

341 N Calvert St
Suite 300
Baltimore, MD 21202-3654
Phone 4109864400109

724 Maiden Choice LN
Suite 201
Catonsville, MD 21228-0003
Phone (667) 218-3500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Express Clinic LLC Internal Medicine CurrentSince Nov 3, 2020 Accepting new patients
Scholar Medical Group MD LLC CurrentSince Nov 1, 2020 Accepting new patients
Capital Healthcare PC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1140 3rd St NE
Washington, DC 20002
Phone (202) 935-1033

3 Bethesda Metro Ctr
Ste 700
Bethesda, MD 20814
Phone (240) 292-8319

724 Maiden Choice Ln
Ste 201
Catonsville, MD 21228
Phone (410) 650-4121

8205 Snowden River Pkwy
Columbia, MD 21045
Phone (410) 290-9990

133 Rollins Ave
Ste 3
Rockville, MD 20852
Phone (202) 935-1033

Interoperability endpoints

  • Direct secure messaging: azra.hussaini.1@22960.direct.athenahealth.com
  • Direct secure messaging: azra.hussaini.1@25869.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25869/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245343987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1416",
            "city": "BROOKLANDVILLE",
            "state": "MD",
            "postal_code": "210221416",
            "telephone_number": "410-497-6927",
            "fax_number": "833-989-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 GREENSPRING AVE",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210931410",
            "telephone_number": "410-497-6927",
            "fax_number": "833-989-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAINI",
        "first_name": "AZRA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-03-07",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D52913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D52913",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "M44595",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.