Individual provider Active NPI

Amber Hussain, M.D.

  • Family Medicine Physician
  • Lafayette, IN
National Provider Identifier
1730250374
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01050070A Issued in IN
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000603862OtherINANTHEM PROVIDER NUMBER / ARNETT CLINIC, LLC
000000207928OtherINANTHEM ID#
200284360MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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, AZ4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20080825000465 IN Practitioner - Family Practice 2567537640 Reassigns benefits to 1 organization
I20231204001507 NM Practitioner - Family Practice 2567537640 Reassigns benefits to 3 organizations
I20240409001267 CO Practitioner - Family Practice 2567537640
I20241108000726 AZ Practitioner - Family Practice 2567537640 Reassigns benefits to 1 organization

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
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

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

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01050070AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Native Americans for Community Action, Inc CurrentSince Nov 1, 2024 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince Nov 13, 2023 Accepting new patients
Arnett Clinic, LLC Family Medicine CurrentSince Mar 27, 2009 Accepting new patients
Valley-Wide Health Systems, Inc. CurrentSince Dec 5, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 13, 2023 Accepting new patients
Presbyterian Medical Services CurrentSince Jul 15, 2024 Accepting new patients
Arnett Clinic, LLC CurrentSince Mar 27, 2009 Accepting new patients
Presbyterian Medical Services CurrentSince Jul 15, 2024 Accepting new patients
Valley-Wide Health Systems, Inc CurrentSince Dec 5, 2024 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

  • Direct secure messaging: amber.hussainmd.p7@direct.ahni.nextgenshare.com
  • FHIR API: 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.

View all 14

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.