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

Individual Male Years of Experience 19 Internal Medicine Interventional Cardiology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 94.7

About HUSSEIN NOORUDDIN YAMANI MD

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 19 years of experience. He graduated from University Of Texas Medical Branch At Galveston in 2004. The NPI number of Hussein Yamani is 1003007204 and was 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 10 years ago.

NPI
1003007204
Provider Name HUSSEIN NOORUDDIN YAMANI MD
Provider Location Address100 MEDICAL CENTER BLVD SUITE 200 CONROE, TX 77304
Provider Mailing Address100 MEDICAL CENTER BLVD SUITE 200 CONROE, TX 77304
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year2004
Is Sole Proprietor?No
Enumeration Date08-05-2007
Last Update Date02-26-2013

An internist like Hussein Nooruddin Yamani Md 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 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.

Hussein Yamani is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Houston Methodist The Woodlands Hospital, Hca Houston Healthcare Conroe, St Luke's The Woodlands Hospital and Memorial Hermann Hospital System.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.7, 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.



Primary Taxonomy

Taxonomy Code207RI0011X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationInterventional Cardiology
License No.P0154
License StateTX
Taxonomy DescriptionAn 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

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

Business Address

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

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Mailing Address

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


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID42483414
PECOS Enrollment IDI20111031000293
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 77304 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.75 $172.6 $130.71
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.18 $43.15 $32.67
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.72 $141.29 $101.2
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.43 $35.32 $25.3

* The physician office visit costs information is obtained by Medicare's 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 Medicare's 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.

MIPS Measure Score Weight Score
Quality 40% 100
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 (PI) 25% 72.5
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 15% 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 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 20% 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.
MIPS Final Score - 94.7
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.

Clinician Utilization

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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 329Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 170Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 39Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
  • 37Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • 34Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 29Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)
  • 20Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • 17Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • 12Catheter insertion of stents in major coronary artery or branch, accessed through the skin (HCPCS:92928)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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 CMS Certification Number (CCN) Overall Rating
HOUSTON METHODIST THE WOODLANDS HOSPITAL17201 INTERSTATE 45 SOUTH
THE WOODLANDS, TX 77385
(936) 270-2000Acute Care Hospitals670122
HCA HOUSTON HEALTHCARE CONROE504 MEDICAL CENTER BLVD
CONROE, TX 77304
(936) 539-1111Acute Care Hospitals450222
ST LUKE'S THE WOODLANDS HOSPITAL17200 ST LUKE'S WAY
THE WOODLANDS, TX 77384
(936) 266-4050Acute Care Hospitals450862
MEMORIAL HERMANN HOSPITAL SYSTEM1635 NORTH LOOP WEST
HOUSTON, TX 77008
(713) 448-6796Acute Care Hospitals450184

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

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

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
1437405875WESLEY T. MYERS, MD PA
Organization
Surgery (Plastic and Reconstructive Surgery)100 MEDICAL CENTER BLVD STE 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
1285660803 DIMITRIOS SPIROS MANTZOROS DPM
Individual
Podiatrist100 MEDICAL CENTER BLVD STE 216
CONROE, TX 77304
(936) 756-9191
1518185719DR. GURPREET K MUKKER DPM
Individual
Podiatrist100 MEDICAL CENTER BLVD STE 216
CONROE, TX 77304
(936) 756-9191
1881857951 TIMOTHY CASPERSON DPM
Individual
Podiatrist100 MEDICAL CENTER BLVD SUITE 216
CONROE, TX 77304
(936) 756-9191

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Hussein Nooruddin Yamani Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.