Individual provider Active NPI

Mariam Fatima Hussain, MD

  • Family Medicine Physician
  • Palestine, TX
National Provider Identifier
1285375626
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
W0184 Issued in TX
Practice address
4002 S Loop 256 Ste a
Palestine, TX 75801-8492
Phone
(903) 731-5470
Fax
(903) 731-5037
NPI assigned
Apr 6, 2022
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10081447 TX
Family Medicine Physician 207Q00000X W0184 TX Primary

Addresses

Primary practice location

4002 S Loop 256 Ste a
Palestine, TX 75801-8492

Mailing address

4002 S Loop 256 Ste a
Palestine, TX 75801-8492
Phone (903) 731-5442

Other practice location 1

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250827004361 TX Practitioner - Family Practice 0446751903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Specialty PhysiciansGroup PAC ID 6305901927, 59 clinicians

Practice addresses (Care Compare)

4002 S Loop
256 Suite a
Palestine, TX 75801-8492
Phone (903) 731-5030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W0184TXMDFamily Medicine Physician
BP10081447TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Specialty Physicians Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Texas Specialty Physicians CurrentSince Oct 1, 2025 Accepting new patients
Palestine Principal Healthcare Limited Partnership Past Accepting new patients

Locations

514 S Bonham St
Ste D
Mexia, TX 76667
Phone (254) 562-5961

4002 S Loop 256
Ste A
Palestine, TX 75801
Phone (903) 723-8800

Interoperability endpoints

  • Direct secure messaging: mariam.hussain.1@20210.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1285375626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 S LOOP 256 STE A",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018492",
            "telephone_number": "903-731-5442",
            "fax_number": "903-723-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 S LOOP 256 STE A",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018492",
            "telephone_number": "903-731-5470",
            "fax_number": "903-731-5037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052707",
            "country_code": "US",
            "telephone_number": "915-215-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "MARIAM",
        "middle_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10081447",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "W0184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.