NPIMap

Individual provider Active NPI

Muhammad M Hussain, DO

  • Medical Oncology Physician
  • Plymouth, IN
National Provider Identifier
1669800728
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
02005672A Issued in IN
Practice address
1915 Lake Ave
Plymouth, IN 46563-9366
Phone
(574) 936-2585
NPI assigned
Oct 28, 2013
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 02005672A IN Primary

Addresses

Primary practice location

1915 Lake Ave
Plymouth, IN 46563-9366

Mailing address

PO Box 746092
Atlanta, GA 30374-6092
Phone (574) 334-5400

Other identifiers 1

IdentifierTypeStateIssuer
300026844MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190712001455 IN Practitioner - Medical Oncology 0941535918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Lincoln Memorial University Medical Department, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michiana Hematology-Oncology P CGroup PAC ID 3375513419, 13 clinicians

Practice addresses (Care Compare)

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470
Phone (574) 237-1328

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.47 of 100Reported as group
Quality
91.94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michiana Hematology-Oncology P C CurrentSince Sep 1, 2019 Accepting new patients
Michiana Hematology-Oncology P C Medical Oncology CurrentSince Sep 1, 2019 Accepting new patients
Cancer Specialists LLC Medical Oncology Past Accepting new patients

Locations

1506 Osolo Rd
#A
Elkhart, IN 46514
Phone (574) 295-1131

5340 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 237-1328

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

Interoperability endpoints

  • Direct secure messaging: mhussain1158620@direct.trinity-health.org
  • Direct secure messaging: mhussain595528@direct.hfhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1669800728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746092",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746092",
            "telephone_number": "574-334-5400",
            "fax_number": "574-237-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 LAKE AVE",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465639366",
            "telephone_number": "574-936-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "MUHAMMAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-28",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "02005672A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300026844",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

Verify at the official NPI Registry.