Individual provider Active NPI

Ghazi Hussain, M.D

  • Hospitalist Physician
  • Fall River, MA
National Provider Identifier
1972815306
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
261395 Issued in MA
Practice address
363 Highland Ave
Fall River, MA 02720-3703
Phone
(508) 973-5919
Fax
(508) 973-5916
NPI assigned
Jul 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD14298 RI
Hospitalist Physician 208M00000X 261395 MA Primary

Addresses

Primary practice location

363 Highland Ave
Fall River, MA 02720-3703

Mailing address

200 Mill Rd
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000

Other identifiers 1

IdentifierTypeStateIssuer
110114450AMedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ghussain36041@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130812000071 RI Practitioner - Internal Medicine 2062654650 Reassigns benefits to 4 organizations
I20160722002183 MA Practitioner - HospitalistPractitioner - Internal Medicine 2062654650 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians
Prime Healthcare Services Landmark LLCGroup PAC ID 3274761069, 48 clinicians

Practice addresses (Care Compare)

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

25 Capwell Ave
Pawtucket, RI 02860-5623
Phone (401) 588-4215

Hospital & facility affiliations

  • Nursing Placement Hospice & Palliative Care, LLC Hospice, Pawtucket, RI, CCN 411508
  • Hopehealth Hospice & Palliative Care Hospice, Providence, RI, CCN 411500
  • Visiting Nurse Health and Hospice Hospice, Middletown, RI, CCN 411506
  • Landmark Medical Center Hospital, Woonsocket, RI, CCN 410011
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Village House Nursing & Rehabilitation Center Nursing home, Newport, RI, CCN 415074
  • South Kingstown Nurs. & Rehab Ctr Nursing home, West Kingston, RI, CCN 415054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14298RIMDInternal Medicine Physician
261395MAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services Landmark LLC CurrentSince Nov 15, 2018 Accepting new patients
Core Clinicals LLC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2019 Accepting new patients
Eleanor Slater Hospital CurrentSince Sep 25, 2024 Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Jan 20, 2017 Accepting new patients
Southcoast Physicians Group, Inc. Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Sound Physicians of Massachusetts II PC Internal Medicine CurrentSince Mar 3, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2019 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine CurrentSince Jan 20, 2017 Accepting new patients
Southcoast Physicians Group, Inc. Internal Medicine Current Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Nov 15, 2018 Accepting new patients
Prime Care LLC Internal Medicine PastSince Nov 1, 2024 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

111 Howard Ave
Cranston, RI 02920
Phone (401) 462-3085

132 Old River Rd
Ste 108
Lincoln, RI 02865
Phone (401) 334-1044

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1972815306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "address_2": "SUITE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 HIGHLAND AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203703",
            "telephone_number": "508-973-5919",
            "fax_number": "508-973-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "GHAZI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD14298",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "261395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110114450A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ghussain36041@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "363 Highland Ave",
            "city": "Fall River",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027203703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.