Active NPI
Ahmed Hussain, M.D.
- Urology Physician
- Fremont, CA
National Provider Identifier
1275533481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C52122
- Practice address
- 2333 Mowry Ave Ste 300
Fremont, CA 94538-1626 - Phone
- (510) 796-0510
- Fax
- (510) 796-7760
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | C52122 | CA | Primary |
| Urology Physician | 208800000X | 43255 | TN | |
| Urology Physician | 208800000X | 140962 | NY |
Addresses
Primary practice location
2333 Mowry Ave Ste 300
Fremont, CA 94538-1626
Mailing address
2333 Mowry Ave Ste 300
Fremont, CA 94538-1626
Phone (510) 796-0510
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71313 | Medicaid | CA | |
| 00775131 | Medicaid | NY | |
| 158825001 | Medicaid | AR | |
| 3001480 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2333 Mowry Ave
Suite 300
Fremont, CA 94538-1626
Phone (510) 796-0222
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.37 of 100
- Quality
- 53.29
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 87.09
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C52122 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Cardiovascular Consultants | Current | Accepting new patients | |
| California Cardiovascular Consultants Medical Associates | Current | Accepting new patients | |
| Success Health System, LLC | Past | Accepting new patients | |
| Great River Medical Center | Past | Accepting new patients | |
| Advanced Interventional Surgical Center | Past | Accepting new patients | |
| Martin Health | Past | Accepting new patients | |
| Martin Clinic Corp | Urology | Past | Accepting new patients |
Locations
2333 Mowry Ave
Ste 300
Fremont, CA 94538
Phone (510) 670-1111
27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000
6250 Thornton Ave
Newark, CA 94560
Phone (510) 791-1798
Interoperability endpoints
- ahussain155448@direct.whhs.com
- https://fhir.yourcareuniverse.net/tenant/3da9ca85-20c5-41a0-bdcd-1c72cbc6cce2
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ahussain@yourcarecommunity.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1932202959
-
- Internal Medicine Physician
- Newark, CA
- NPI 1538358122
-
- Interventional Cardiology Physician
- Fremont, CA
- NPI 1215452297
-
- General Acute Care Hospital
- Blytheville, AR
- NPI 1811068646
-
- General Acute Care Hospital
- Martin, TN
- NPI 1275505372
-
- Psychiatry Physician
- Columbia, MO
- NPI 1508310293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1275533481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 MOWRY AVE STE 300",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381626",
"telephone_number": "510-796-0510",
"fax_number": "510-796-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 MOWRY AVE STE 300",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381626",
"telephone_number": "510-796-0510",
"fax_number": "510-796-7760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "AHMED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "C52122",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "43255",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "140962",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71313",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00775131",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158825001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3001480",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.