Active NPI
Amber Hussain, M.D.
- Family Medicine Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01050070A
- Practice address
- 3743 Landmark Dr Ste 200
Lafayette, IN 47905-6656 - Phone
- (765) 448-4511
- Fax
- (765) 447-8375
- NPI assigned
- Nov 13, 2006
- Last updated
- Nov 8, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01050070A | IN | Primary |
Addresses
Primary practice location
3743 Landmark Dr Ste 200
Lafayette, IN 47905-6656
Mailing address
3743 Landmark Dr Ste 200
Lafayette, IN 47905-6656
Phone (765) 448-4511
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000603862 | Other | IN | ANTHEM PROVIDER NUMBER / ARNETT CLINIC, LLC |
| 000000207928 | Other | IN | ANTHEM ID# |
| 200284360 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amber.hussainmd.p7@direct.ahni.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, NM, CO, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 Hwy 60
BLDG D
Socorro, NM 87801-3914
Phone (575) 838-4690
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01050070A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Native Americans for Community Action, Inc | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Arnett Clinic, LLC | Family Medicine | Current | Accepting new patients |
| Valley-Wide Health Systems, Inc. | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Valley-Wide Health Systems, Inc | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| St Clare Health Network | Family Medicine | Past | Accepting new patients |
| Lutheran Hospital Association of the San Luis Valley | Past | Accepting new patients |
Locations
1500 E Cedar Ave
Ste 26
Flagstaff, AZ 86004
Phone (928) 773-1245
1500 E Cedar Ave
Ste 56
Flagstaff, AZ 86004
Phone (928) 526-2968
106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511
1131 Main St
Alamosa, CO 81101
Phone (719) 589-2562
128 Market St
Alamosa, CO 81101
Phone (719) 587-1001
121 N 6th St
Canon City, CO 81212
Phone (719) 221-1414
1012 Belmont Ave
La Junta, CO 81050
Phone (719) 383-5500
8016 Reliable Pkwy
Chicago, IL 60686
2600 Greenbush St
Lafayette, IN 47904
3875 Kensington Dr
Lafayette, IN 47905
Phone (765) 449-1555
4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
1202 Highway 60
Bldg D
Socorro, NM 87801
Phone (575) 838-4690
Interoperability endpoints
- amber.hussainmd.p7@direct.ahni.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 14
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.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Flagstaff, AZ
- NPI 1053326751
-
dba Rio Rancho Family Health Center
- Federally Qualified Health Center (FQHC)
- Rio Rancho, NM
- NPI 1871505032
-
dba Socorro General Hospital
- Critical Access Hospital
- Socorro, NM
- NPI 1790761138
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba PMS Central Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1306654462
-
dba PMS-Socorro Mental Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Socorro, NM
- NPI 1760805303
-
- Federally Qualified Health Center (FQHC)
- Alamosa, CO
- NPI 1790998953
-
dba Rock Creek Family Medicine
- Federally Qualified Health Center (FQHC)
- Alamosa, CO
- NPI 1205652047
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
-
dba Plains Regional Medical Center
- Rural Acute Care Hospital
- Clovis, NM
- NPI 1629053509
-
dba Socorro General Hospital
- Critical Access Hospital
- Socorro, NM
- NPI 1790761138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1730250374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3743 LANDMARK DR STE 200",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479056656",
"telephone_number": "765-448-4511",
"fax_number": "765-447-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3743 LANDMARK DR STE 200",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479056656",
"telephone_number": "765-448-4511",
"fax_number": "765-447-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "AMBER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01050070A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER / ARNETT CLINIC, LLC",
"identifier": "000000603862",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ID#",
"identifier": "000000207928",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200284360",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amber.hussainmd.p7@direct.ahni.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "2330 S Dixon Rd",
"city": "Kokomo",
"state": "IN",
"country_code": "US",
"postal_code": "469026411",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.