Individual provider Active NPI

Syed Amal Hussnain, MD

  • Ophthalmology Physician
  • Melta, NY
National Provider Identifier
1285072769
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
287813-01 Issued in NY
Practice address
638 Malta Ave
Ste 101
Melta, NY 12020
Phone
(518) 580-0553
Fax
(518) 580-0557
NPI assigned
Jun 6, 2013
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 287813 NY
Ophthalmology Physician 207W00000X 287813-01 NY Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 287813 NY

Addresses

Primary practice location

638 Malta Ave
Ste 101
Melta, NY 12020

Mailing address

638 Malta Ave
Ste 101
Melta, NY 12020
Phone (518) 580-0553

Other identifiers 1

IdentifierTypeStateIssuer
03425445MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170629002044 NY Practitioner - Ophthalmology 5597072678 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga Vitreo-Retinal Ophthalmology PLLCGroup PAC ID 7719078161, 14 clinicians

Practice addresses (Care Compare)

2200 Burdett Ave
Suite 206
Troy, NY 12180-2451
Phone (518) 580-0553

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
88.56
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287813NYMDOphthalmology Physician
287813-01NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Vitreo-Retinal Ophthalmology, PLLC CurrentSince Jul 1, 2019 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology CurrentSince Apr 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 1, 2017 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology CurrentSince Jun 1, 2017 Accepting new patients
Eyestudiony PastSince Jul 1, 2019 Accepting new patients

Locations

1712 Route 9
Halfmoon, NY 12065
Phone (518) 368-4996

658 Malta Ave
#101
Malta, NY 12020
Phone (518) 580-0553

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

51 W 51st St
Ste 360
New York, NY 10019
Phone (212) 326-8415

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

635 W 165th St
New York, NY 10032
Phone (212) 305-3039

635 W 165th St
Ste 1B
New York, NY 10032

635 W 165th St
Ste 308
New York, NY 10032

2200 Burdett Ave
Ste 206
Troy, NY 12180
Phone (518) 271-6293

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: shussnain676958@nychhc.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1285072769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 MALTA AVE",
            "address_2": "STE 101",
            "city": "MELTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-580-0553",
            "fax_number": "518-580-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 MALTA AVE",
            "address_2": "STE 101",
            "city": "MELTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-580-0553",
            "fax_number": "518-580-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSNAIN",
        "first_name": "SYED",
        "middle_name": "AMAL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "287813",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "287813-01",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "287813",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03425445",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.