Individual provider Active NPI

Sabiha M Hussain, MD

  • Nephrology Physician
  • Philadelphia, PA
National Provider Identifier
1306826433
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD427230 Issued in PA
Practice address
3400 Spruce Street
Philadelphia, PA 19104-4228
Phone
(215) 662-2638
Fax
(215) 349-5703
NPI assigned
Jan 17, 2006
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA10929400 NJ
Nephrology Physician 207RN0300X MD427230 PA Primary

Addresses

Primary practice location

3400 Spruce Street
Philadelphia, PA 19104-4228

Mailing address

3400 Spruce Street
Philadelphia, PA 19104-4228
Phone (215) 662-2638

Other practice location 1

1865 Route 70
Cherry HIll, NJ 08003-2013
Phone (215) 662-2638

Other identifiers 1

IdentifierTypeStateIssuer
101397361MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051020000046 PA Practitioner - Nephrology 5092731968 Reassigns benefits to 1 organization
I20210816003684 NJ Practitioner - Nephrology 5092731968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd 1 S Pavilion
Nephrology/Hypertension Perelman Center
Philadelphia, PA 19104-4306
Phone (215) 662-2638

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10929400NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince May 12, 2021 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Nephrology CurrentSince May 12, 2021 Accepting new patients
University of Penn - Medical Group Nephrology CurrentSince Sep 1, 2020 Accepting new patients
University of Penn-Medical Group CurrentSince Sep 1, 2020 Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Bih Radiologic Foundation Inc Past Accepting new patients

Locations

1865 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 427-4336

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

554 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-1960

3400 Civic Center Blvd
#1S
Philadelphia, PA 19104
Phone (215) 615-3321

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

PO B0x 824320
Philadelphia, PA 19182

145 King of Prussia Rd
#205S
Wayne, PA 19087

Organizations & group practices 8

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 3

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1306826433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044228",
            "telephone_number": "215-662-2638",
            "fax_number": "215-349-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044228",
            "telephone_number": "215-662-2638",
            "fax_number": "215-349-5703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1865 Route 70",
            "address_purpose": "LOCATION",
            "city": "Cherry HIll",
            "state": "NJ",
            "postal_code": "080032013",
            "country_code": "US",
            "telephone_number": "215-662-2638",
            "fax_number": "215-349-5703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "SABIHA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA10929400",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD427230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101397361",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.