Organization Active NPI

Adnan J. Hussein MD PA

Doing business as Durham Medical Center

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1912210600
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3756 Issued in TX
Legal business name
ADNAN J. HUSSEIN MD PA
Doing business as
Durham Medical Center
Practice address
427 W. 20TH Street
#705
Houston, TX 77008-2433
Phone
(713) 861-4090
Fax
(713) 861-3434
NPI assigned
Jul 22, 2010
Last updated
Jun 13, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ADNAN J. HUSSEIN MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Mr. Adnan Jawhar Hussein, MDNPI 1730299124
Title
President
Phone
(713) 861-4090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K3756 TX Primary

Addresses

Primary practice location

427 W. 20TH Street
#705
Houston, TX 77008-2433

Mailing address

PO Box 426
Fresno, TX 77545-0426
Phone (713) 861-4090

Other identifiers 2

IdentifierTypeStateIssuer
031089801MedicaidTX
1730299124OtherTXFIRST NPI NUMBER

Other names 1

  • Durham Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110615000629 TX Part B Supplier - Clinic/Group Practice 8224215462 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Part of
Adnan J Hussein MD PA

Locations

427 W 20th St
Ste 705
Houston, TX 77008
Phone (713) 861-4090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1912210600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775450426",
            "telephone_number": "713-861-4090",
            "fax_number": "713-861-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W. 20TH STREET",
            "address_2": "#705",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082433",
            "telephone_number": "713-861-4090",
            "fax_number": "713-861-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADNAN J. HUSSEIN MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADNAN J. HUSSEIN MD PA",
        "enumeration_date": "2010-07-22",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_middle_name": "JAWHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-861-4090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031089801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST NPI NUMBER",
            "identifier": "1730299124",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durham Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.