Active NPI
Diaa Eldin Hussein, MD
- Family Medicine Physician
- Morganton, NC
National Provider Identifier
1649239633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200000467
- Practice address
- 329B Sanford Dr
Morganton, NC 28655-2555 - Phone
- (828) 430-9120
- Fax
- (828) 430-9122
- NPI assigned
- Mar 20, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 200000467 | NC | Primary |
Addresses
Primary practice location
329B Sanford Dr
Morganton, NC 28655-2555
Mailing address
329B Sanford Dr
Morganton, NC 28655-2555
Phone (828) 430-9120
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130U6 | Other | NC | BCBS |
| 200000467 | Other | NC | NC LICENSE |
| 89130U6 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200000467 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin County Family Care Centers Inc | Past | Accepting new patients | |
| Carroll Family Physicians Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Hillsville, VA
- NPI 1467564690
-
- Primary Care Clinic/Center
- Galax, VA
- NPI 1023056926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1649239633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329B SANFORD DR",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286552555",
"telephone_number": "828-430-9120",
"fax_number": "828-430-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329B SANFORD DR",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286552555",
"telephone_number": "828-430-9120",
"fax_number": "828-430-9122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSEIN",
"first_name": "DIAA",
"middle_name": "ELDIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200000467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "130U6",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC LICENSE",
"identifier": "200000467",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89130U6",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
- Amanda Lee Hunsucker
- Jeffrey Wayne Hunsucker, LCSW, LCAS, CCS
- Bailey Danielle Hunt, OTR
- Dawn Nicole Huntley, LCSWA
- Margaret Rose Huss, LCMHC
- Theresa Rose Hypse, LCSW
- Imaging Partners PLLC
- Infinity Health Inc (Greenway Recovery and Wellness)
- Ingles Markets Inc (Ingles Pharmacy #120)
- Amy Elizabeth Ingram, RN, CCM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.