Individual provider Active NPI

Syed N Hussain, MBBS

  • Endocrinology, Diabetes & Metabolism Physician
  • Decatur, TX
National Provider Identifier
1306050935
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
P5190 Issued in TX
Practice address
902 Preskitt Rd Ste 100
Decatur, TX 76234-4101
Phone
(940) 626-2470
Fax
(940) 626-2471
NPI assigned
May 10, 2007
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 50662 MN
Endocrinology, Diabetes & Metabolism Physician 207RE0101X P5190 TX Primary

Addresses

Primary practice location

902 Preskitt Rd Ste 100
Decatur, TX 76234-4101

Mailing address

PO Box 2228
Decatur, TX 76234-6159
Phone (940) 626-2470

Other practice location 1

3412 N Tarrant Pkwy Ste 520
Fort Worth, TX 76177-8643
Phone (940) 626-2470

Other identifiers 3

IdentifierTypeStateIssuer
323773701MedicaidTX
8DU197OtherTXBCBSTX
323773702MedicaidTX

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
I20130829000241 TX Practitioner - Endocrinology 2668540287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3412 N Tarrant Pkwy
Suite 520
Fort Worth, TX 76177-8643
Phone (940) 626-2470

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
56.6 of 100Reported as individual
Quality
77.86
Improvement activities
0
Cost
72.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Diabetes Hormone and Metabolism, PA Endocrinology, Diabetes & Metabolism CurrentSince Jun 27, 2013 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Dr Ben Deheshi Orthopedics PLLC PastSince Jul 1, 2013 Accepting new patients

Locations

609 Medical Center Dr
Ste 2800
Decatur, TX 76234
Phone (940) 626-0108

902 Preskitt Rd
Ste 100
Decatur, TX 76234
Phone (817) 332-7867

3412 N Tarrant Pkwy
Ste 520
Fort Worth, TX 76177
Phone (940) 626-1848

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 5

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1306050935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2228",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762346159",
            "telephone_number": "940-626-2470",
            "fax_number": "940-626-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 PRESKITT RD STE 100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762344101",
            "telephone_number": "940-626-2470",
            "fax_number": "940-626-2471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3412 N Tarrant Pkwy Ste 520",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761778643",
            "country_code": "US",
            "telephone_number": "940-626-2470",
            "fax_number": "940-626-2471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "SYED",
        "middle_name": "N",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MN",
            "license": "50662",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "P5190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323773701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8DU197",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323773702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.