Amber Hussain, PA-C
Individual provider Active NPI Physician Assistant · Bloomfield Hills, MI
NPI 1467864355 · NPPES record last updated Oct 17, 2017
Key facts
- NPI
- 1467864355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601007020 (MI)
- Practice address
- 1290 Westview Rd
Bloomfield Hills, MI 48304-2072 - Phone
- (248) 568-0085
- NPI assigned
- May 27, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Health System
Practice addresses (Care Compare)
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
6777 W Maple Rd
Henry Ford West Bloomfield Med Ctr
West Bloomfield, MI 48322-3013
Phone (248) 661-4100
Hospital & facility affiliations
- Henry Ford Health West Bloomfield Hospital
- Henry Ford Health Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140918001492 | MI | Practitioner - Physician Assistant | 9436378718 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601007020 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Pathology | Current | Accepting new patients | |
| Saint Joseph Mercy Livingston Hospital | Current |
Accepting new patients | |
| University Physician Group | Current |
Accepting new patients | |
| Chelsea Community Hospital | Current |
Accepting new patients | |
| Chelsea Community Hospital | Current |
Accepting new patients | |
| Circle City Home Health Care LLC | Current | Accepting new patients | |
| Henry Ford Health System | Current |
Accepting new patients | |
| Henry Ford Health System | Physician Assistant | Current |
Accepting new patients |
Locations
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
Interoperability endpoints
- amber.hussain.1@16555.direct.athenahealth.com
- ahussain867225@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601007020 | MI | Yes |
Addresses
Primary practice location
1290 Westview Rd
Bloomfield Hills, MI 48304-2072
Mailing address
1290 Westview Rd
Bloomfield Hills, MI 48304-2072
Phone (248) 568-0085
Other names
- Amber Chowdhri
NPI Registry JSON
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1467864355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 WESTVIEW RD",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483042072",
"telephone_number": "248-568-0085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 WESTVIEW RD",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483042072",
"telephone_number": "248-568-0085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "AMBER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "CHOWDHRI",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bloomfield Hills, MI
- Anne M Hranchook
- Craig Huard
- Tiffany Monique Huffman
- Steven K Huprich
- Jennifer Lauren Hurley
- Maqsood Hussain
- Jeffrey Wayne Hyde
- Craig Hysni
- Iep Mco Orthopedic Urgent Care PLLC
- Iha Olma Specialty Service LLC
All providers in Bloomfield Hills, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.