Individual provider Active NPI

Kamran Reza Hussain, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Rockwall, TX
National Provider Identifier
1447555040
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2086 Issued in TX
Practice address
201 E Interstate 30
Rockwall, TX 75087-5402
Phone
(214) 771-3668
Fax
(915) 206-5070
NPI assigned
Jan 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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
Foot & Ankle Surgery Podiatrist 213ES0103X 2086 TX Primary

Addresses

Primary practice location

201 E Interstate 30
Rockwall, TX 75087-5402

Mailing address

201 E Interstate 30
Rockwall, TX 75087-5402
Phone (214) 771-3668

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
I20140711000348 TX Practitioner - Podiatry 9234371410 Reassigns benefits to 1 organization
Practice locations: Rockwell, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Foot Specialists PLLCGroup PAC ID 9739306499, 4 clinicians

Practice addresses (Care Compare)

201 E Interstate 30
Rockwall, TX 75087-5402
Phone (817) 805-2324

4004 Medical Pkwy
Greenville, TX 75401-7854
Phone (214) 771-3668

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue120
Removal of skin lesions1-10
Removal of nail tissue183
Removal or shaving of skin growth49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2086TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot Specialists, PLLC Foot & Ankle Surgery CurrentSince Dec 7, 2014 Accepting new patients
Advanced Foot Specialists, PLLC CurrentSince May 8, 2014 Accepting new patients
Ankle and Foot Care Centers Foot & Ankle Surgery Past Accepting new patients
Advanced Foot Specialists, PLLC Foot & Ankle Surgery PastSince Jul 1, 2014 Accepting new patients

Locations

8220 Walnut Hill Ln
Ste 516
Dallas, TX 75231
Phone (214) 771-3668

8220 Walnut Hill Ln
Ste 616
Dallas, TX 75231
Phone (214) 345-5262

3600 Gaston Ave
Ste 405
Dallas, TX 75246

4004 Medical Pkwy
Greenville, TX 75401
Phone (214) 771-3668

1720 FM 544
Ste 100
Lewisville, TX 75056
Phone (817) 337-6604

201 E Interstate 30
Rockwall, TX 75087
Phone (214) 771-3668

201 E Interstate 30
Ste B
Rockwall, TX 75087
Phone (214) 771-3668

4325 Miles Rd
Ste 105
Sachse, TX 75048
Phone (214) 771-3668

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 and National Provider Directory roles.

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": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1447555040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E INTERSTATE 30",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875402",
            "telephone_number": "214-771-3668",
            "fax_number": "915-206-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E INTERSTATE 30",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875402",
            "telephone_number": "214-771-3668",
            "fax_number": "915-206-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "KAMRAN",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.