Sarah Hussain, MD
Individual provider Active NPI Family Medicine Physician · Miamisburg, OH
NPI 1790762854 · NPPES record last updated Jan 21, 2021
Key facts
- NPI
- 1790762854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35078627H (OH)
- Practice address
- 415 Byers Rd
Ste 300
Miamisburg, OH 45342-3684 - Phone
- (937) 866-2494
- Fax
- (937) 866-8494
- NPI assigned
- Dec 29, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alliance Physicians Inc
Kettering Independent Medical Group Inc
Practice addresses (Care Compare)
1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
415 Byers Rd
Suite 300
Miamisburg, OH 45342-3684
Phone (937) 866-2494
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
Hospital & facility affiliations
- Kettering Health Miamisburg
- Kettering Health Main Campus
- Kettering Health Dayton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090505000202 | OH | Practitioner - Family Practice | 2466500236 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35078627H | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| Alliance Physicians Inc | Family Medicine | Current |
Accepting new patients |
| Alliance Physicians, Inc. | Current |
Accepting new patients |
Locations
7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
4000 Miamisburg Centerville Rd
#435
Miamisburg, OH 45342
415 Byers Rd
Ste 300
Miamisburg, OH 45342
Phone (937) 866-2494
415 Byers Rd
Ste 500
Miamisburg, OH 45342
Phone (937) 275-8900
4000 Miamisburg Centerville Rd
Ste 10
Miamisburg, OH 45342
Phone (937) 384-4820
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35078627H | OH | Yes |
Addresses
Primary practice location
415 Byers Rd
Ste 300
Miamisburg, OH 45342-3684
Mailing address
415 Byers Rd
Ste 300
Miamisburg, OH 45342-3684
Phone (937) 866-2494
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2538758 | Medicaid | OH | |
| HU4045952 | Other | PTAN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shussain9966@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
Other providers in Miamisburg, OH
- Elizabeth W Hughes
- Ashley Nichole Hull
- Jessica Lauren Hulshult
- Alyssa Rae Huntington
- Dana R Huntington
- Rachael Lynn Hutchison
- Nathaniel Hwang
- Bruce G Hymon
- Mariano M Iberico
- Sierra D Iddings
All providers in Miamisburg, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.