Individual provider Active NPI

Kareem D Husain, MD

  • Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1912025974
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2009014874 Issued in MO
Practice address
8549 Bryan Ave
Saint Louis, MO 63117-1348
Phone
(314) 610-9147
NPI assigned
Mar 27, 2007
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2009014874 MO Primary

Addresses

Primary practice location

8549 Bryan Ave
Saint Louis, MO 63117-1348

Mailing address

8549 Bryan Ave
Saint Louis, MO 63117-1348
Phone (314) 610-9147

Other identifiers 2

IdentifierTypeStateIssuer
ENROLLEDMedicaidIL
1912025974MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100817000776 MO Practitioner - General SurgeryPractitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 5496889180 Reassigns benefits to 2 organizations
I20230215001423 OR Practitioner - General Surgery 5496889180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Anesthesiology, Critical Care (Intensivists)
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirksville Clinic CorpGroup PAC ID 4486619269, 14 clinicians

Practice addresses (Care Compare)

315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone (660) 785-1000

800 W Jefferson St
Kirksville, MO 63501-1443
Phone (660) 626-2235

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.41 of 100Reported as apm
Quality
79.26
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.41 of 100Reported as apm
Quality
79.26
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009014874MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Mid-Columbia Medical Center Current Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Kirksville Clinic Corp Surgery CurrentSince May 1, 2024 Accepting new patients
Poplar Bluff Hma Physician Management, LLC Surgery CurrentSince Jul 1, 2022 Accepting new patients
Mid-Columbia Medical Center CurrentSince Sep 1, 2024 Accepting new patients

Locations

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

800 W Jefferson St
Kirksville, MO 63501
Phone (660) 626-2235

3098 Oak Grove Rd
Poplar Bluff, MO 63901
Phone (573) 778-2600

1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700

1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

1810 E 19th St
Ste 225
The Dalles, OR 97058
Phone (541) 296-6101

Interoperability endpoints

  • Direct secure messaging: khusain584613@direct.peacehealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1912025974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8549 BRYAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171348",
            "telephone_number": "314-610-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8549 BRYAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171348",
            "telephone_number": "314-610-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "KAREEM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2009014874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912025974",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.