Active NPI
Anwar Ahmed Hussain, M.D.
- Family Medicine Physician
- Endicott, NY
National Provider Identifier
1558520510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 249566
- Practice address
- 1302 E Main St
Endicott, NY 13760-5430 - Phone
- (607) 754-7171
- Fax
- (607) 754-0290
- NPI assigned
- Jun 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 249566 | NY | Primary |
Addresses
Primary practice location
1302 E Main St
Endicott, NY 13760-5430
Mailing address
346 Grand Ave
Johnson City, NY 13790-2580
Phone (607) 729-8156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03031692 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Colby St
Suite 101
Berkeley, CA 94705-2090
Phone (510) 848-7977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1265719033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321660800000",
"number": "1558520510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 GRAND AVE",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902580",
"telephone_number": "607-729-8156",
"fax_number": "607-729-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 E MAIN ST",
"city": "ENDICOTT",
"state": "NY",
"postal_code": "137605430",
"telephone_number": "607-754-7171",
"fax_number": "607-754-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "ANWAR",
"middle_name": "AHMED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-05",
"last_updated": "2011-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "249566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03031692",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Endicott, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.