Individual provider Active NPI

Muhammad Ammar Hussieno, MD

  • Pulmonary Disease Physician
  • Casper, WY
National Provider Identifier
1922112531
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
8244A Issued in WY
Practice address
419 S Washington St
Suite 102
Casper, WY 82601-2951
Phone
(307) 577-0477
Fax
(307) 577-0479
NPI assigned
Aug 19, 2006
Last updated
Nov 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 8244A WY Primary

Addresses

Primary practice location

419 S Washington St
Suite 102
Casper, WY 82601-2951

Mailing address

419 S Washington St
Suite 102
Casper, WY 82601-2951
Phone (307) 577-0477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20200103000345 CO Practitioner - Pulmonary Disease 5395741490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

2635 N 7TH St
Grand Junction, CO 81501-8209

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8244AWYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Nov 25, 2019 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Nov 25, 2019 Accepting new patients

Locations

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

Interoperability endpoints

  • Direct secure messaging: ammar.hussieno@direct.wyomingmedicalcenter.org

Organizations & group practices 2

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 4

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1922112531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S WASHINGTON ST",
            "address_2": "SUITE 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012951",
            "telephone_number": "307-577-0477",
            "fax_number": "307-577-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S WASHINGTON ST",
            "address_2": "SUITE 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012951",
            "telephone_number": "307-577-0477",
            "fax_number": "307-577-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSIENO",
        "first_name": "MUHAMMAD",
        "middle_name": "AMMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WY",
            "license": "8244A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.