Individual provider Active NPI

Faizul Hussain, DO

  • Nephrology Physician
  • Altamonte Springs, FL
National Provider Identifier
1942560974
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS14676 Issued in FL
Practice address
661 E Altamonte Dr Ste 213
Altamonte Springs, FL 32701-5102
Phone
(407) 951-5883
Fax
(407) 951-8326
NPI assigned
May 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X OS14676 FL Primary

Addresses

Primary practice location

661 E Altamonte Dr Ste 213
Altamonte Springs, FL 32701-5102

Mailing address

407 SE 9TH St Ste 103
Fort Lauderdale, FL 33316-1113
Phone (954) 463-0112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180124000189 FL Practitioner - Nephrology 8921367756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care Associates LLCGroup PAC ID 2365716610, 3 clinicians

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 213
Altamonte Springs, FL 32701-5102
Phone (407) 951-5883

Hospital & facility affiliations

  • DaVita Casselberry Dialysis Dialysis facility, Casselberry, FL, CCN 102857
  • Fresenius Kidney Care Casselberry Dialysis facility, Casselberry, FL, CCN 682690
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
70.52
Promoting interoperability
100
Improvement activities
40
Cost
73.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14676FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians, LLC Nephrology CurrentSince Jun 11, 2018 Accepting new patients
Florida Kidney Physicians , LLC Nephrology CurrentSince Jun 11, 2018 Accepting new patients
Kidney Care Associates LLC Nephrology CurrentSince Nov 1, 2024 Accepting new patients

Locations

661 E Altamonte Dr
Ste 213
Altamonte Springs, FL 32701
Phone (407) 347-2982

4534 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 493-9774

407 SE 9th St
Ste 103
Ft Lauderdale, FL 33316
Phone (954) 463-0112

2100 E Hallandale Beach Blvd
Ste 202
Hallandale Beach, FL 33009
Phone (954) 239-0578

3850 Hollywood Blvd
Ste 202
Hollywood, FL 33021
Phone (954) 894-4115

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1942560974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SE 9TH ST STE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161113",
            "telephone_number": "954-463-0112",
            "fax_number": "954-463-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR STE 213",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015102",
            "telephone_number": "407-951-5883",
            "fax_number": "407-951-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "FAIZUL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS14676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.