Active NPI
Mohammed Hussain, MD
- Cardiovascular Disease Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036069756
- Practice address
- 3960 N Harlem Ave
Chicago, IL 60634-2219 - Phone
- (773) 589-1008
- Fax
- (773) 658-2005
- NPI assigned
- Dec 7, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036069756 | IL | Primary |
Addresses
Primary practice location
3960 N Harlem Ave
Chicago, IL 60634-2219
Mailing address
3401 W Devon Ave
PO Box 59436
Chicago, IL 60659-1303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036069756 | Medicaid | IL |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3960 N Harlem Ave
Chicago, IL 60634-2267
Phone (773) 589-1008
Hospital & facility affiliations
- Evangel Home Health Services, Inc
- Auxilium Healthcare Services, Inc
- Community First Medical Center
- Amita Health Resurrection Medical Center
- Grove of Skokie, the
- Norridge Gardens
- Community First Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.67 of 100
- Quality
- 15
- Improvement activities
- 0
- Cost
- 84.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036069756 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HKH Associates SC | Cardiovascular Disease | Current | Accepting new patients |
Locations
3401 W Devon Ave
Unit 59436
Chicago, IL 60659
3960 N Harlem Ave
Chicago, IL 60634
Phone (773) 589-2400
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
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.
-
- Cardiovascular Disease Physician
- Chicago, IL
- NPI 1366501124
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033214416
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1942305321
Nursing home
-
- Home Health Agency
- Schaumburg, IL
- NPI 1235237629
-
- Home Health Agency
- South Barrington, IL
- NPI 1205089596
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649339441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W DEVON AVE",
"address_2": "PO BOX 59436",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606591303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 N HARLEM AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606342219",
"telephone_number": "773-589-1008",
"fax_number": "773-658-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "MOHAMMED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036069756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036069756",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.