Active NPI
Institute of Diabetes Hormone and Metabolism, PA
- Endocrinology, Diabetes & Metabolism Physician
- Decatur, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- P5190
- Legal business name
- INSTITUTE OF DIABETES HORMONE AND METABOLISM, PA
- Practice address
- 902 Preskitt Rd Ste 100
Decatur, TX 76234-4101 - Phone
- (940) 626-2470
- Fax
- (940) 626-2471
- NPI assigned
- Apr 4, 2013
- Last updated
- Jun 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Syed Naveed Hussain, MD
- Title
- Owner/President
- Phone
- (940) 626-2470
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | P5190 | TX | Primary |
Addresses
Primary practice location
902 Preskitt Rd Ste 100
Decatur, TX 76234-4101
Mailing address
PO Box 2228
Decatur, TX 76234-6159
Phone (940) 626-2470
Other practice location 1
3412 N Tarrant Pkwy Ste 520
Fort Worth, TX 76177-8643
Phone (940) 626-2470
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 323773702 | Medicaid | TX | |
| 323772901 | Medicaid | TX | |
| 0098YU | Other | TX | BCBSTX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
902 Preskitt Rd
Ste 100
Decatur, TX 76234
Phone (940) 626-2470
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Decatur, TX
- NPI 1306050935
-
- Orthopaedic Surgery Physician
- Fort Worth, TX
- NPI 1447774997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654473600000",
"number": "1942543384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2228",
"city": "DECATUR",
"state": "TX",
"postal_code": "762346159",
"telephone_number": "940-626-2470",
"fax_number": "940-626-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 PRESKITT RD STE 100",
"city": "DECATUR",
"state": "TX",
"postal_code": "762344101",
"telephone_number": "940-626-2470",
"fax_number": "940-626-2471"
}
],
"practiceLocations": [
{
"address_1": "3412 N Tarrant Pkwy Ste 520",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761778643",
"country_code": "US",
"telephone_number": "940-626-2470",
"fax_number": "940-626-2471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INSTITUTE OF DIABETES HORMONE AND METABOLISM, PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-04",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A",
"authorized_official_last_name": "HUSSAIN",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "NAVEED",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "940-626-2470",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "P5190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "323773702",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "323772901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "0098YU",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.