Active NPI
Omar Zaman Hussain, DO
- Family Medicine Physician
- Bedford, TX
National Provider Identifier
1619354404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- S1825
- Practice address
- 3024 Highway 121
Bedford, TX 76021-4037 - Phone
- (817) 494-5000
- Fax
- (817) 494-5001
- NPI assigned
- Apr 30, 2015
- Last updated
- Aug 27, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S1825 | TX | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | S1825 | TX |
Addresses
Primary practice location
3024 Highway 121
Bedford, TX 76021-4037
Mailing address
3024 Highway 121
Bedford, TX 76021-4037
Phone (817) 494-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 26, 2025 through Mar 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- omar.hussain@355430191529988.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1619354404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 HIGHWAY 121",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760214037",
"telephone_number": "817-494-5000",
"fax_number": "817-494-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3024 HIGHWAY 121",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760214037",
"telephone_number": "817-494-5000",
"fax_number": "817-494-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "OMAR",
"middle_name": "ZAMAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-30",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S1825",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "TX",
"license": "S1825",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.