NPIMap

Individual provider Active NPI

Omar Purvis Hussain, M.D.

  • Hospitalist Physician
  • Naples, FL
National Provider Identifier
1437447752
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME120379 Issued in FL
Practice address
11190 Health Park Blvd
Naples, FL 34110-5729
Phone
(239) 330-2933
Fax
(239) 330-2933
NPI assigned
Jul 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X ME120379 FL Primary

Addresses

Primary practice location

11190 Health Park Blvd
Naples, FL 34110-5729

Mailing address

PO Box 26069
Tampa, FL 33623-6069
Phone (239) 330-2933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140822001868 FL Practitioner - Internal Medicine 5193943793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Inpatient Partners LLCGroup PAC ID 3476832528, 40 clinicians
Prestige Outpatient Providers LLCGroup PAC ID 3870929615, 16 clinicians

Practice addresses (Care Compare)

350 7TH St N
Naples, FL 34102-5754
Phone (239) 624-5000

6135 Rattlesnake Hammock Rd
Naples, FL 34113-2912
Phone (239) 775-7715

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.52 of 100Reported as group
Quality
52.2
Improvement activities
40
Cost
80.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME120379FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Infectious Disease, LLC Current Accepting new patients
Premier Inpatient Partners LLC Hospitalist CurrentSince Nov 1, 2016 Accepting new patients
Prestige Outpatient Providers, LLC CurrentSince Jan 1, 2020 Accepting new patients
Premier Critical Care ,LLC PastSince Sep 1, 2021 Accepting new patients

Locations

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

2338 Immokalee Rd
Naples, FL 34110
Phone (239) 330-2933

6135 Rattlesnake Hammock Rd
#R
Naples, FL 34113
Phone (239) 775-7715

6135 Rattlesnake Hammock Rd
Naples, FL 34113
Phone (239) 775-7661

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4
  • Direct secure messaging: omar.hussain.1@14267.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1437447752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26069",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336236069",
            "telephone_number": "239-330-2933",
            "fax_number": "239-330-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 HEALTH PARK BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105729",
            "telephone_number": "239-330-2933",
            "fax_number": "239-330-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "OMAR",
        "middle_name": "PURVIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME120379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.