NPIMap

Individual provider Active NPI

Ali Khusseyn, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1396792594
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207829 Issued in NY
Practice address
7 Corbin PL Ste C1
Brooklyn, NY 11235-4801
Phone
(347) 391-6166
Fax
(718) 889-7144
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207829 NY Primary

Addresses

Primary practice location

7 Corbin PL Ste C1
Brooklyn, NY 11235-4801

Mailing address

7 Corbin PL Ste C1
Brooklyn, NY 11235-4801
Phone (347) 391-6166

Other identifiers 1

IdentifierTypeStateIssuer
01789188MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akhmdpc@direct.practicefusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050928001194 NY Practitioner - Internal Medicine 0042245078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calvary Hospital IncGroup PAC ID 9133010382, 50 clinicians

Practice addresses (Care Compare)

1740 Eastchester Rd
Bronx, NY 10461-2300
Phone (718) 518-2000

7 Corbin PL
Suite C1
Brooklyn, NY 11235-4801
Phone (347) 391-6166

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.86 of 100Reported as group
Quality
41.67
Improvement activities
40
Cost
86.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207829NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calvary Hospital Inc CurrentSince Mar 19, 2008 Accepting new patients
Calvary Hospital Inc Current Accepting new patients
Akh Medical PC Internal Medicine CurrentSince Jan 12, 2006 Accepting new patients

Locations

1740 Eastchester Rd
Bronx, NY 10461
Phone (718) 518-2000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1396792594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CORBIN PL STE C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354801",
            "telephone_number": "347-391-6166",
            "fax_number": "718-889-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CORBIN PL STE C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354801",
            "telephone_number": "347-391-6166",
            "fax_number": "718-889-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUSSEYN",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01789188",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akhmdpc@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "7 Corbin Pl Ste C1",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112354801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.