Ammr Al-Houssan, MBBCH

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

263 Farmington Avenue
Op S7235
Farmington, CT 06030-8073

Phone

(860) 679-3467

Fax

(860) 679-1110

NPI assigned

Apr 29, 2019

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: ammr.al-houssan@xdr.hhchealthdirect.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2019.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1700440468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "LM068",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060301921",
            "telephone_number": "860-679-4763",
            "fax_number": "860-679-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "address_2": "OP S7235",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308073",
            "telephone_number": "860-679-3467",
            "fax_number": "860-679-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HOUSSAN",
        "first_name": "AMMR",
        "credential": "MBBCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Al Rameni
• Fatmah Al Zahmi, MBBS
• Khadijeh Al-Abedalla
• Sharefa Sulaiman Al-Asfour
• Lina Ziad Khali Al-Bawaliz
• Wahila Alam, M.D.
• Amer Zaal Alanezi, DDS
• Gwen Torvy Beaman Alber, DO
• Peter C Albertsen, M.D.
• Fatima Ali Aldashti

• All providers in Farmington, CT
• Student in an Organized Health Care Education/Training Program in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.