Individual provider Active NPI

Benish Hussain, MD

  • Internal Medicine Physician
  • Cheshire, CT
National Provider Identifier
1649579814
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
050134 Issued in CT
Practice address
1781 Highland Avenue
Suite 106
Cheshire, CT 06410-1254
Phone
(203) 271-2120
Fax
(203) 272-3197
NPI assigned
Mar 27, 2011
Last updated
Sep 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 050134 CT Primary

Addresses

Primary practice location

1781 Highland Avenue
Suite 106
Cheshire, CT 06410-1254

Mailing address

1781 Highland Avenue
Suite 106
Cheshire, CT 06410-1254
Phone (203) 271-2120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190703002039 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4284804527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
050134CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Medical Group, PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1301184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1649579814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 HIGHLAND AVENUE",
            "address_2": "SUITE 106",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101254",
            "telephone_number": "203-271-2120",
            "fax_number": "203-272-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 HIGHLAND AVENUE",
            "address_2": "SUITE 106",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101254",
            "telephone_number": "203-271-2120",
            "fax_number": "203-272-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "BENISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-27",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "050134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.