Tayeb S Hussain, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016-004816 Issued in IL

Practice address

2500 Ridge Ave
Suite 110
Evanston, IL 60201-2455

Phone

(847) 475-9030

Fax

(847) 475-9031

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resilience Healthcare - Lakefront Medical Associates LLCGroup PAC ID 5991046468, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thussain@magmile.mdlogic.direct-ci.com
• Direct secure messaging: tayeb.hussain.1@18552.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: thussain@evanstonpodiatric.mdlogic.direct-ci.com

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.

• Evanston Podiatric Surgeons PC

  • Podiatrist
  • Evanston, IL
  • NPI 1518969344
  Medicare reassignment NPD Authorized official
• Resilience Healthcare - Lakefront Medical Associates, LLC

  • General Practice Physician
  • Chicago, IL
  • NPI 1205301926
  Medicare reassignment Care Compare group NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1992034599
  Medicare reassignment NPD
• Mag Mile Foot & Ankle Institute LLC

  • Podiatrist
  • Chicago, IL
  • NPI 1841537941
  Medicare reassignment NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1447589981
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Saint Francis Hospital - Evanston LLC

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1982442398
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1487688925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE",
            "address_2": "SUITE 110",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012455",
            "telephone_number": "847-475-9030",
            "fax_number": "847-475-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE",
            "address_2": "SUITE 110",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012455",
            "telephone_number": "847-475-9030",
            "fax_number": "847-475-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "TAYEB",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-004816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004816",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Elizabeth Huntington, LCSW
• Jean A Hurteau, MD
• Aydin Huseynov
• Kamran Hussain, O.D.
• Sarah M Hussain, APN-CNP
• Usman Syed Hussain, DO
• Kathleen R. Huston, LCSW
• Meghan A Hutchinson, MSOT
• David S. Hwang, MD
• Indrani Hwang, M.D.

• Podiatrist in Evanston, IL
• Providers in Evanston, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.