Organization Active NPI

Institute of Diabetes Hormone and Metabolism, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Decatur, TX
National Provider Identifier
1942543384
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
P5190 Issued in TX
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Dr. Syed Naveed Hussain, MDNPI 1306050935
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)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
323773702MedicaidTX
323772901MedicaidTX
0098YUOtherTXBCBSTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130829000218 TX Part B Supplier - Clinic/Group Practice 6002059664 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, TX; Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.