Individual provider Active NPI

Sulman M Hussain, D.O.

  • Cardiovascular Disease Physician
  • Munster, IN
National Provider Identifier
1982839650
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
02003981A Issued in IN
Practice address
9104 Columbia Ave
Munster, IN 46321-2907
Phone
(219) 836-4473
NPI assigned
May 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 02003981A IN Primary

Addresses

Primary practice location

9104 Columbia Ave
Munster, IN 46321-2907

Mailing address

9104 Columbia Ave
Munster, IN 46321-2907
Phone (219) 836-4473

Other practice location 1

5454 Hohman Ave
Hammond, IN 46320-1931
Phone (219) 932-2300

Other practice location 2

4320 Fir St Unit 320
East Chicago, IN 46312-3076
Phone (219) 392-7992

Other practice location 3

9120 Columbia Ave
Munster, IN 46321-2907
Phone (219) 703-5301

Other practice location 4

9660 Wicker Ave
Saint John, IN 46373-9487
Phone (219) 836-4473

Other practice location 5

505 W US Highway 30
Schererville, IN 46375-2650
Phone (219) 836-4473

Other practice location 6

931 Fran Lin Pkwy
Munster, IN 46321-3540
Phone (219) 836-4473

Other identifiers 1

IdentifierTypeStateIssuer
201079360MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20120824000822 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2668629718 Reassigns benefits to 1 organization
I20120827000807 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2668629718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Home Physicians LLCGroup PAC ID 4981988771, 81 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

601 Sheffield Ave
Dyer, IN 46311-1167
Phone (219) 322-2273

9104 Columbia Ave
Munster, IN 46321-2907
Phone (219) 836-4473

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince Oct 1, 2016 Accepting new patients
Community Home Physicians, LLC CurrentSince Jan 11, 2022 Accepting new patients
The SNF Group, PLLC Past Accepting new patients

Locations

1S450 Summit Ave
Ste 270
Oakbrook Terrace, IL 60181

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

4320 Fir St
Unit 320
East Chicago, IN 46312
Phone (219) 392-7992

5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

931 Fran Lin Pkwy
Munster, IN 46321
Phone (219) 513-0107

9104 Columbia Ave
Munster, IN 46321
Phone (219) 836-4473

801 MacArthur Blvd
Munster, IN 46321
Phone (219) 836-4297

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9120 Columbia Ave
Munster, IN 46321
Phone (219) 513-9415

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

505 W US Highway 30
Schererville, IN 46375
Phone (219) 322-3311

Interoperability endpoints

  • Direct secure messaging: shussain62783@ssdirect.comhs.org

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 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": "1243036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1982839650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 COLUMBIA AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212907",
            "telephone_number": "219-836-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 COLUMBIA AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212907",
            "telephone_number": "219-836-4473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5454 Hohman Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463201931",
            "country_code": "US",
            "telephone_number": "219-932-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 Fir St Unit 320",
            "address_purpose": "LOCATION",
            "city": "East Chicago",
            "state": "IN",
            "postal_code": "463123076",
            "country_code": "US",
            "telephone_number": "219-392-7992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9120 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212907",
            "country_code": "US",
            "telephone_number": "219-703-5301",
            "fax_number": "219-703-6718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9660 Wicker Ave",
            "address_purpose": "LOCATION",
            "city": "Saint John",
            "state": "IN",
            "postal_code": "463739487",
            "country_code": "US",
            "telephone_number": "219-836-4473",
            "fax_number": "219-703-6566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 W US Highway 30",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "463752650",
            "country_code": "US",
            "telephone_number": "219-836-4473",
            "fax_number": "219-703-6566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "931 Fran Lin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463213540",
            "country_code": "US",
            "telephone_number": "219-836-4473",
            "fax_number": "219-703-6566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "SULMAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-23",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "02003981A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201079360",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.