NPIMap

Individual provider Active NPI

Syed Fawad Hussain, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1265408041
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
11399 Issued in NV
Practice address
1641 E Flamingo Rd
#10
Las Vegas, NV 89119-5257
Phone
(702) 734-4377
Fax
(702) 369-8057
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 11399 NV Primary

Addresses

Primary practice location

1641 E Flamingo Rd
#10
Las Vegas, NV 89119-5257

Mailing address

1641 E Flamingo Rd
10
Las Vegas, NV 89119-5257
Phone (702) 734-4377

Other identifiers 3

IdentifierTypeStateIssuer
100506595MedicaidNV
CC4470OtherNVBLUE CROSS
DH475YOtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051216000611 NV Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6103847108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Syed F. Hussain, MD, PCGroup PAC ID 6204009707, 2 clinicians

Practice addresses (Care Compare)

1641 E Flamingo Rd
Las Vegas, NV 89119-5257
Phone (702) 734-4377

Hospital & facility affiliations

  • Brilliant Health System, Inc Home health agency, Las Vegas, NV, CCN 297235
  • Care First Home Health Care Home health agency, Las Vegas, NV, CCN 297143
  • Critical Care Visiting Nurses Home health agency, Las Vegas, NV, CCN 297128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11399NVMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Syed F. Hussain, MD, PC CurrentSince Aug 15, 2011 Accepting new patients
Matthew Pham MD PC CurrentSince Apr 21, 2010 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Critical Care Nurses LLC PastSince Jan 1, 2025 Accepting new patients
Nevada Internal Medicine Ctr-Burt MD LTD PastSince Jun 1, 2003 Accepting new patients
Golden Victory Medical PastSince Mar 1, 2020 Accepting new patients

Locations

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

1641 E Flamingo Rd
Ste 10
Las Vegas, NV 89119
Phone (702) 732-3541

3022 S Durango Dr
Ste 100
Las Vegas, NV 89117
Phone (702) 210-9423

2250 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 474-0200

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Critical Care HospiceLas Vegas, NV, CCN 291727 Hospice Contracted Managing Employee Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1265408041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 E FLAMINGO RD",
            "address_2": "10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195257",
            "telephone_number": "702-734-4377",
            "fax_number": "702-369-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 E FLAMINGO RD",
            "address_2": "#10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195257",
            "telephone_number": "702-734-4377",
            "fax_number": "702-369-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "SYED",
        "middle_name": "FAWAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NV",
            "license": "11399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506595",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "CC4470",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DH475Y",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.