NPIMap

Individual provider Active NPI

Rafid J Hussein, DO

  • Gastroenterology Physician
  • Gallatin, TN
National Provider Identifier
1396763645
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
1009014097 Issued in MO
Practice address
300 Steam Plant Rd Ste 450
Gallatin, TN 37066-3079
Phone
(615) 822-6716
Fax
(615) 328-3709
NPI assigned
Jul 17, 2006
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 1009014097 MO Primary

Addresses

Primary practice location

300 Steam Plant Rd Ste 450
Gallatin, TN 37066-3079

Mailing address

300 Steam Plant Rd Ste 450
Gallatin, TN 37066-3079
Phone (615) 822-6716

Other identifiers 2

IdentifierTypeStateIssuer
1396763645MedicaidMO
036100635MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429002755 TN Practitioner - Gastroenterology 4789587809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner Physician Practices LLCGroup PAC ID 8820283260, 59 clinicians

Practice addresses (Care Compare)

323 Steam Plant Rd
Gallatin, TN 37066-3025
Phone (615) 450-0906

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy253
Upper gastrointestinal (GI) endoscopy for acid reflux282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1009014097MOMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices, LLC CurrentSince Jun 1, 2024 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients
Sumner Physician Practices LLC Gastroenterology CurrentSince Jun 1, 2024 Accepting new patients
Bikashagarwal Inc. Past Accepting new patients
Digestive Healthcare Specialists LLC Gastroenterology Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Sumner Physician Practices LLC PastSince Dec 1, 2019 Accepting new patients
Sumner Physician Practices LLC Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

300 Steam Plant Rd
Ste 450
Gallatin, TN 37066
Phone (615) 444-6667

323 Steam Plant Rd
Gallatin, TN 37066
Phone (615) 452-0035

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 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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1396763645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD STE 450",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663079",
            "telephone_number": "615-822-6716",
            "fax_number": "615-328-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD STE 450",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663079",
            "telephone_number": "615-822-6716",
            "fax_number": "615-328-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "RAFID",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "1009014097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396763645",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100635",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.