Active NPI
Rafiq A Hussain, MD
- Nephrology Physician
- Cleveland, OH
National Provider Identifier
1770615981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35034432
- Practice address
- 18660 Bagley Rd
301 Phase II
Cleveland, OH 44130-3483 - Phone
- (440) 243-7878
- Fax
- (440) 243-1290
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35034432 | OH | Primary |
| Nephrology Specialist/Technologist | 246ZN0300X | 35034432 | OH |
Addresses
Primary practice location
18660 Bagley Rd
301 Phase II
Cleveland, OH 44130-3483
Mailing address
PO Box 45318
Westlake, OH 44145-0318
Phone (440) 243-7878
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0269525 | Medicaid | OH | |
| 659294 | Other | OH | BUREAU OF WORKMENS COMPEN |
| 000000128294 | Other | OH | ANTHEM |
| 341179615026 | Other | OH | CARE SOURCE |
| 341179615B01 | Other | OH | MEDICAL MUTUAL |
| 51781 | Other | OH | DUAL CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35034432 | OH | MD | Nephrology Specialist/Technologist |
Interoperability endpoints
- rhussain@direct.swgeneral.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1770615981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45318",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441450318",
"telephone_number": "440-243-7878",
"fax_number": "440-243-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18660 BAGLEY RD",
"address_2": "301 PHASE II",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441303483",
"telephone_number": "440-243-7878",
"fax_number": "440-243-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "RAFIQ",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35034432",
"primary": true
},
{
"code": "246ZN0300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Nephrology",
"state": "OH",
"license": "35034432",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0269525",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF WORKMENS COMPEN",
"identifier": "659294",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000128294",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE SOURCE",
"identifier": "341179615026",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "341179615B01",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DUAL CHOICE",
"identifier": "51781",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.