Individual provider Active NPI

Roshan Ally Hussain, M.D

  • Family Medicine Physician
  • Grantsville, WV
National Provider Identifier
1881628071
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WV18796 Issued in WV
Practice address
186 Hospital Dr
Grantsville, WV 26147-7100
Phone
(304) 354-9244
Fax
(304) 462-8000
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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 WV18796 WV Primary

Addresses

Primary practice location

186 Hospital Dr
Grantsville, WV 26147-7100

Mailing address

186 Hospital Dr
Grantsville, WV 26147-7100
Phone (304) 354-9244

Other identifiers 1

IdentifierTypeStateIssuer
0054730000MedicaidWV

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnie Hamilton Health Care Center Inc 21 clinicians

Practice addresses (Care Compare)

186 Hospital Dr
Grantsville, WV 26147-7100
Phone 30435492441130

80 Spring Run Rd
Arnoldsburg, WV 25234-7096
Phone (304) 354-5995

921 Mineral Rd
Suite 101
Glenville, WV 26351-1342
Phone (304) 462-7322

Hospital & facility affiliations

  • Minnie Hamilton Health System Hospital, Grantsville, WV, CCN 511303
  • Stonewall Jackson Memorial Hospital Company Hospital, Weston, WV, CCN 510038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000429 WV Practitioner - General Practice 1759483969 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WV18796WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minnie Hamilton Health Care Center, Inc. CurrentSince Aug 3, 2011 Accepting new patients
Minnie Hamilton Health Care Center, Inc. CurrentSince Aug 3, 2011 Accepting new patients
Minnie Hamilton Health Care Center Inc Past Accepting new patients
Minnie Hamilton Health Care Center Inc Past Accepting new patients
Minnie Hamilton Health Care Center, Inc. Past Accepting new patients
Minnie Hamilton Health Care Center, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

80 Spring Run Rd
Arnoldsburg, WV 25234
Phone (304) 354-5995

376 WV Highway 5 E
Glenville, WV 26351
Phone (304) 462-7322

921 Mineral Rd
Ste 101
Glenville, WV 26351
Phone (304) 462-7322

186 Hospital Dr
Grantsville, WV 26147
Phone (304) 354-9244

Interoperability endpoints

  • Direct secure messaging: roshan.hussain.1@14266.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1881628071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 HOSPITAL DR",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "261477100",
            "telephone_number": "304-354-9244",
            "fax_number": "304-462-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 HOSPITAL DR",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "261477100",
            "telephone_number": "304-354-9244",
            "fax_number": "304-462-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "ROSHAN",
        "middle_name": "ALLY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "WV18796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054730000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grantsville, WV

Sources for this page

Verify at the official NPI Registry.