HUSSEIN NOORUDDIN YAMANI MD
NPI 1003007204
Internal Medicine - Interventional Cardiology in Conroe, TX


Quality Rating: 89.7 out of 100 score

NPI Status: Active since August 05, 2007

Contact Information

100 MEDICAL CENTER BLVD
SUITE 200
CONROE, TX
ZIP 77304
Phone: (936) 441-9680
Fax: (936) 539-9685

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  • Individual
  • Male
  • Years of Experience 20
  • Internal Medicine
  • Interventional Cardiology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About HUSSEIN YAMANI

Hussein Yamani is an internist established in Conroe, Texas and his medical specialization is Internal Medicine with a focus in interventional cardiology with more than 20 years of experience. He graduated from University Of Texas Medical Branch At Galveston in 2004. The healthcare provider is registered in the NPI registry with number 1003007204 assigned on August 2007. The practitioner's primary taxonomy code is 207RI0011X with license number P0154 (TX). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1003007204
Provider Name
HUSSEIN NOORUDDIN YAMANI MD
Gender
Male
Entity Type
Individual
Location Address
100 MEDICAL CENTER BLVD SUITE 200 CONROE, TX 77304
Location Phone
(936) 441-9680
Location Fax
(936) 539-9685
Mailing Address
100 MEDICAL CENTER BLVD SUITE 200 CONROE, TX 77304
Mailing Phone
(936) 441-9680
Mailing Fax
(936) 539-9685
Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
08-05-2007
Last Update Date
02-26-2013
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An internist like Hussein Yamani is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Hussein Yamani is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.67 for a new patient copayment and $25.3 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Interventional Cardiology

Taxonomy Code
207RI0011X
Type
Allopathic & Osteopathic Physicians
License No.
P0154
License State
TX
Taxonomy Description
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Aetna CVS Health

    • Gold 3: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Gold 4: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Gold S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Silver 1: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Silver 5: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
  • Ambetter from Arizona Complete Health

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
  • Ambetter from Arkansas Health & Wellness

    • Choice Bronze HSA (QualChoice) - POS
    • Complete Gold - PPO
    • Complete Gold + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
  • Ambetter from Louisiana Healthcare Connections

    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • Ambetter from Superior HealthPlan

    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
  • Ambetter of Oklahoma

    • Clear Gold - PPO
    • Clear Gold + Vision + Adult Dental - PPO
    • Clear Silver - PPO
    • Clear Silver + Vision + Adult Dental - PPO
    • Complete Silver - PPO
  • Blue Cross and Blue Shield of Texas

    • Blue Advantage Bronze HMO℠ 204 - HMO
    • Blue Advantage Bronze HMO℠ 301 - HMO
    • Blue Advantage Bronze HMO℠ 302 - HMO
    • Blue Advantage Bronze HMO℠ 707 - HMO
    • Blue Advantage Gold HMO℠ 206 - HMO
  • Community Health Choice

    • Community Premier Bronze 003 (No deductible for PCP, Free Preventive Care, 24/7 Telehealth) - HMO
    • Community Premier Bronze 018 (No deductible for PCP, Specialists & Generics, Free 24/7 Telehealth) - HMO
    • Community Premier Gold 005 (No Deductible for PCP, Specialists & Generics, Free 24/7 Telehealth) - HMO
    • Community Premier Gold 021 (No Deductible for PCP, Specialists & Generics, Free 24/7 Telehealth) - HMO
    • Community Premier Silver 004 (No deductible for PCP, Specialists, Urgent Care & Generics, Free 24/7 Telehealth) - HMO
  • Imperial Insurance Companies, Inc.

    • Imperial Preferred Bronze - HMO
    • Imperial Preferred Gold - HMO
    • Imperial Preferred Gold Zero - HMO
    • Imperial Preferred Silver - HMO
    • Imperial Standard Bronze - HMO
  • Molina Healthcare

    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 250 - HMO
    • Silver 1 250 with Adult Vision Services - HMO
  • Oscar Insurance Company

    • Bronze Classic - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic 4700 (Choice) - EPO
    • Bronze Classic Standard - EPO
    • Bronze Classic Standard (Choice) - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4651372963OTHER (01)MYUTMB 4651372963

PECOS Enrollment and Medicare Participation Status

Hussein Yamani is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 42483414

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20111031000293

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 77304 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.71
  • Minimum New Patient Price $56.75
  • Maximum New Patient Price $172.6
  • Average New Patient Copayment $32.67
  • Minimum New Patient Copayment $14.18
  • Maximum New Patient Copayment $43.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $101.2
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $141.29
  • Average Established Patient Copayment $25.3
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $35.32

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 89.7 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 92.02

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 78.97

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 257

    Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)

  • 246

    Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)

  • 52

    Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)

  • 44

    Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)

  • 43

    Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)

  • 36

    Remote evaluations of single, dual, or multiple lead pacemaker system with qualified health care professional analysis, review, and report, up to 90 days (HCPCS:93294)

  • 30

    Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)

  • 25

    Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)

  • 12

    Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)

  • 12

    Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report (HCPCS:93018)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Hussein Yamani is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MEMORIAL HERMANN HOSPITAL SYSTEM1635 NORTH LOOP WEST
HOUSTON, TX 77008
(713) 448-6796Acute Care Hospitals
HCA HOUSTON HEALTHCARE CONROE504 MEDICAL CENTER BLVD
CONROE, TX 77304
(936) 539-1111Acute Care Hospitals
HOUSTON METHODIST THE WOODLANDS HOSPITAL17201 INTERSTATE 45 SOUTH
THE WOODLANDS, TX 77385
(936) 270-2000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003007204
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001420
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 4 + 2 + 0 + 24 = 36
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 36 = 44

The NPI number 1003007204 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003813619DR. JUNE-CHIEH CHANG M.D.
Individual
Legal Medicine100 MEDICAL CENTER BLVD STE 102
CONROE, TX 77304
(936) 756-9522
1114976560VIS PROCEDURE CENTER, PA
Organization
Specialist100 MEDICAL CENTER BLVD SUITE 118
CONROE, TX 77304
(936) 539-4031
1801847330VASCULAR & INTERVENTIONAL SP
Organization
Specialist100 MEDICAL CENTER BLVD SUITE 118
CONROE, TX 77304
(936) 539-4031
1285675033DR. CAROL LYNN COGLIANESE M.D.
Individual
Specialist100 MEDICAL CENTER BLVD SUITE 212
CONROE, TX 77304
(936) 756-1322
1588695183DR. CHRISTOPHER BUN-HUNG WONG M.D.
Individual
Internal Medicine (Cardiovascular Disease)100 MEDICAL CENTER BLVD STE 213
CONROE, TX 77304
(936) 760-2544
1770591349ADVANCED ALLERGY CARE
Organization
Allergy & Immunology (Allergy)100 MEDICAL CENTER BLVD #120
CONROE, TX 77304
(936) 441-9944
1174769921CHRISTOPHER WONG MD PA
Organization
Internal Medicine (Cardiovascular Disease)100 MEDICAL CENTER BLVD STE 213
CONROE, TX 77304
(936) 760-2544
1437192622MR. YOUSUF AHMED MD
Individual
Pediatrics100 MEDICAL CENTER BLVD SUITE 110
CONROE, TX 77304
(936) 441-7300
1861402810 ARINDAM BANERJEE M. D.
Individual
Internal Medicine (Interventional Cardiology)100 MEDICAL CENTER BLVD SUITE 200
CONROE, TX 77304
(936) 441-9680
1114275500 NATALLIA ECHEANDIA RMA
Individual
Specialist100 MEDICAL CENTER BLVD STE 213
CONROE, TX 77304
(936) 539-8155
1013007343MR. JOHN A STARTZ MD
Individual
Internal Medicine100 MEDICAL CENTER BLVD STE 104
CONROE, TX 77304
(936) 756-2888
1497959076DR. WESLEY THOMAS MYERS MD
Individual
Surgery (Plastic and Reconstructive Surgery)100 MEDICAL CENTER BLVD SUITE 213
CONROE, TX 77304
(936) 539-8115
1184046070SAULETTE QUEEN, MD, PLLC
Organization
Internal Medicine (Cardiovascular Disease)100 MEDICAL CENTER BLVD STE. 200
CONROE, TX 77304
(713) 376-0814
1356589956MRS. PREETI DESAI M.D.
Individual
Internal Medicine (Cardiovascular Disease)100 MEDICAL CENTER BLVD SUITE 200
CONROE, TX 77304
(936) 441-9680
1356376891DR. DANIEL RICHARD WALKER M.D.
Individual
Internal Medicine (Infectious Disease)100 MEDICAL CENTER BLVD SUITE 212
CONROE, TX 77304
(936) 756-1322
1063870269 CARRYE BORIS NP
Individual
Nurse Practitioner100 MEDICAL CENTER BLVD STE 200
CONROE, TX 77304
(936) 441-9680
1518185719DR. GURPREET K MUKKER DPM
Individual
Podiatrist100 MEDICAL CENTER BLVD STE 216
CONROE, TX 77304
(936) 756-9191
1154571883DIMITRIOS MANTZOROS
Organization
Durable Medical Equipment & Medical Supplies100 MEDICAL CENTER BLVD STE 216
CONROE, TX 77304
(936) 756-9191
1245429158DR. JOHN A ADIET MD
Individual
Family Medicine100 MEDICAL CENTER BLVD STE 104
CONROE, TX 77304
(936) 756-2888
1245261411DANIEL R. WALKER, M.D., P.A.
Organization
Internal Medicine (Infectious Disease)100 MEDICAL CENTER BLVD SUITE 212
CONROE, TX 77304
(936) 756-1322

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003007204, enumerated in the NPI registry as an "individual" on August 05, 2007

The provider is located at 100 Medical Center Blvd Suite 200 Conroe, Tx 77304 and the phone number is (936) 441-9680

The provider's speciality is Internal Medicine with taxonomy code 207RI0011X with a focus in Interventional Cardiology

The provider has more than 20 years of experience. He graduated from University Of Texas Medical Branch At Galveston in 2004.

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Arizona Complete. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

Medicare beneficiaries should expect a typical cost of $130.71 with an average copayment of $32.67 for new patient appointments. Established patients should expect a typical charge of $101.2 and an average copayment of 25.3. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Routine ekg using at least 12 leads including interpretation and report, Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function, Nuclear medicine study of vessels of heart using drugs or exercise multiple studies, Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart, Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes, Remote evaluations of single, dual, or multiple lead pacemaker system with qualified health care professional analysis, review, and report, up to 90 days, Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck, Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers, Ultrasound study of arteries and arterial grafts of both legs and Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report.

The practitioner is affiliated to the following hospital(s): MEMORIAL HERMANN HOSPITAL SYSTEM, HCA HOUSTON HEALTHCARE CONROE and HOUSTON METHODIST THE WOODLANDS HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.