Individual provider Active NPI

Hasina Hussain, MD

  • Pediatric Adolescent Medicine Physician
  • Allen, TX
National Provider Identifier
1548214430
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
J7009 Issued in TX
Practice address
600 W. McDermott Dr
Ste B
Allen, TX 75013-2700
Phone
(972) 359-0000
Fax
(972) 359-1000
NPI assigned
May 22, 2006
Last updated
Jun 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X J7009 TX Primary

Addresses

Primary practice location

600 W. McDermott Dr
Ste B
Allen, TX 75013-2700

Mailing address

600 W. McDermott Dr
Ste B
Allen, TX 75013-2700
Phone (972) 359-0000

Other identifiers 1

IdentifierTypeStateIssuer
113473604MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J7009TXMDPediatric Adolescent Medicine Physician

Interoperability endpoints

  • Direct secure messaging: hhussain17974@direct.childrens.com

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1548214430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W. MCDERMOTT DR",
            "address_2": "STE B",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132700",
            "telephone_number": "972-359-0000",
            "fax_number": "972-359-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W. MCDERMOTT DR",
            "address_2": "STE B",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132700",
            "telephone_number": "972-359-0000",
            "fax_number": "972-359-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "HASINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "J7009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113473604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.