Individual provider Active NPI

Maged Hussein, M.D

  • Specialist
  • Vienna, VA
National Provider Identifier
1720045453
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101042111 Issued in VA
Practice address
2555 Chain Bridge Rd
Vienna, VA 22181-5517
Phone
(703) 242-2335
Fax
(703) 242-0633
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101042111 VA Primary

Addresses

Primary practice location

2555 Chain Bridge Rd
Vienna, VA 22181-5517

Mailing address

PO Box 3171
Oakton, VA 22124-9171
Phone (703) 242-2335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MP2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230803000323 SC Practitioner - Nephrology 1759468895 Reassigns benefits to 1 organization
I20240105003785 MP Practitioner - Nephrology 1759468895 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101042111VAMDSpecialist
35430SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Healthcare Corporation CurrentSince Nov 11, 2023 Accepting new patients
Musc Community Physicians CurrentSince May 15, 2023 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Nov 11, 2023 Accepting new patients
Musc Community Physicians CurrentSince May 15, 2023 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Interoperability endpoints

  • Direct secure messaging: mhussein442702@direct.musc.edu

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1720045453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3171",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221249171",
            "telephone_number": "703-242-2335",
            "fax_number": "703-242-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 CHAIN BRIDGE RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221815517",
            "telephone_number": "703-242-2335",
            "fax_number": "703-242-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "MAGED",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101042111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.