Individual provider Active NPI

Haytham Alrayah Hussein, M.D.

  • Family Medicine Physician
  • Parkville, MO
National Provider Identifier
1912165853
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301099700 Issued in MI
Practice address
6185 NW Jefferson St
Parkville, MO 64152-3683
Phone
(816) 569-1506
NPI assigned
May 28, 2008
Last updated
Oct 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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 4301099700 MI Primary

Addresses

Primary practice location

6185 NW Jefferson St
Parkville, MO 64152-3683

Mailing address

6185 NW Jefferson St
Parkville, MO 64152-3683
Phone (816) 569-1506

Other identifiers 1

IdentifierTypeStateIssuer
1912165853MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190318002088 GA Practitioner - Family Practice 8527220730 Reassigns benefits to 1 organization
Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1863 Memorial Dr SE
Atlanta, GA 30317-2103
Phone (404) 616-9304

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation Family Medicine CurrentSince Oct 7, 2018 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Oct 7, 2018 Accepting new patients
House Calls Physicians PLLC Family Medicine PastSince May 19, 2011 Accepting new patients
Grady Memorial Hospital Corporation Past Accepting new patients

Locations

1863 Memorial Dr SE
Atlanta, GA 30317
Phone (404) 616-8880

2695 Buford Hwy NE
Ste 200
Atlanta, GA 30324
Phone (404) 616-3031

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

Organizations & group practices 4

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1912165853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6185 NW JEFFERSON ST",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523683",
            "telephone_number": "816-569-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6185 NW JEFFERSON ST",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523683",
            "telephone_number": "816-569-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "HAYTHAM",
        "middle_name": "ALRAYAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301099700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912165853",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MO

Sources for this page

Verify at the official NPI Registry.