Individual provider Active NPI

Ahmed Hussain, M.D.

  • Urology Physician
  • Fremont, CA
National Provider Identifier
1275533481
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C52122 Issued in CA
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

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
71313MedicaidCA
00775131MedicaidNY
158825001MedicaidAR
3001480MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221021002658 CA Practitioner - Urology 5890720718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Cardiovascular ConsultantsGroup PAC ID 7810800083, 30 clinicians

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 100Reported as group
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. 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
C52122CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Cardiovascular Consultants CurrentSince Oct 15, 2022 Accepting new patients
California Cardiovascular Consultants Medical Associates CurrentSince Oct 15, 2022 Accepting new patients
Success Health System, LLC PastSince Feb 12, 2017 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

  • Direct secure messaging: ahussain155448@direct.whhs.com
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/3da9ca85-20c5-41a0-bdcd-1c72cbc6cce2
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.