Individual provider Active NPI

Nadeem Hussain, MBBS

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Mount Dora, FL
National Provider Identifier
1891304192
Registry record updated Mar 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
ME167106 Issued in FL
Practice address
6909 Old Highway 441 S Ste 105
Mount Dora, FL 32757-7039
Phone
(855) 496-4964
NPI assigned
Jul 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X BP10086147 TX
Infectious Disease Physician 207RI0200X R78109 AZ
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME167106 FL Primary

Addresses

Primary practice location

6909 Old Highway 441 S Ste 105
Mount Dora, FL 32757-7039

Mailing address

1601 Johns Lake Rd Apt 715
Clermont, FL 34711-6662
Phone (520) 351-9625

Other practice location 1

7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 567-4820

Other practice location 2

2800 E Ajo Way
Tucson, AZ 85713-6204
Phone (520) 626-6405

Other practice location 3

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 626-6405

Other practice location 4

3838 N Campbell Ave Bldg 2
Tucson, AZ 85719-1454
Phone (520) 626-6405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220706003543 MI Order and Referring Only - Geriatric MedicinePractitioner - Geriatric Medicine 8729468863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ME167106FLMDHospice and Palliative Medicine (Internal Medicine) Physician
BP10086147TXMDHospice and Palliative Medicine (Internal Medicine) Physician
R78109AZMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742688000000",
    "number": "1891304192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 JOHNS LAKE RD APT 715",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116662",
            "telephone_number": "520-351-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 OLD HIGHWAY 441 S STE 105",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327577039",
            "telephone_number": "855-496-4964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293901",
            "country_code": "US",
            "telephone_number": "210-567-4820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 E Ajo Way",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857136204",
            "country_code": "US",
            "telephone_number": "520-626-6405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 N Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857194330",
            "country_code": "US",
            "telephone_number": "520-626-6405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3838 N Campbell Ave Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857191454",
            "country_code": "US",
            "telephone_number": "520-626-6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "NADEEM",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "BP10086147",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "R78109",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME167106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.