Individual provider Active NPI

Raafae Mohammad Hussain, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Denton, TX
National Provider Identifier
1326456955
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2331 Issued in TX
Practice address
3319 Unicorn Lake Blvd
Denton, TX 76210-0121
Phone
(940) 300-3054
Fax
(940) 243-7780
NPI assigned
Jul 28, 2014
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2331 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 2331 TX Primary

Addresses

Primary practice location

3319 Unicorn Lake Blvd
Denton, TX 76210-0121

Mailing address

3319 Unicorn Lake Blvd
Denton, TX 76210-0120
Phone (940) 300-3054

Other practice location 1

1625 N Grand Ave
Gainesville, TX 76240-2343
Phone (940) 300-3054

Other identifiers 3

IdentifierTypeStateIssuer
2331OtherTXSTATE LICENSE
8JR949OtherBCBS
3857864-02MedicaidTX

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180705002766 TX Practitioner - Podiatry 4587910518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Foot and Ankle Care of North Texas PAGroup PAC ID 1951493642, 2 clinicians

Practice addresses (Care Compare)

3319 Unicorn Lake Blvd
Suite 111
Denton, TX 76210-0121
Phone 94030030542009

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.13 of 100Reported as individual
Quality
58.78
Promoting interoperability
76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue103
Removal of skin lesions13
Removal of nail tissue198
Removal or shaving of skin growth183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2331TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Foot and Ankle Care of North Texas, PA Podiatrist CurrentSince Jul 6, 2020 Accepting new patients
Texas Group PLLC Past Accepting new patients

Locations

3319 Unicorn Lake Blvd
Ste 111
Denton, TX 76210
Phone (866) 490-3668

1625 N Grand Ave
Gainesville, TX 76240
Phone (940) 382-6757

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1504/brand/5/csg/87/fhir/r4
  • Direct secure messaging: raafae.hussain.1@5751.direct.athenahealth.com

Organizations & group practices 2

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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1326456955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 UNICORN LAKE BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100120",
            "telephone_number": "940-300-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 UNICORN LAKE BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100121",
            "telephone_number": "940-300-3054",
            "fax_number": "940-243-7780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762402343",
            "country_code": "US",
            "telephone_number": "940-300-3054",
            "fax_number": "940-243-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "RAAFAE",
        "middle_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2331",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2331",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8JR949",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3857864-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.