HUSSEIN NOORUDDIN YAMANI MD NPI 1003007204
Internal Medicine - Interventional Cardiology in Conroe, TX
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 this provider 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 |
| Location Address | 100 MEDICAL CENTER BLVD SUITE 200 CONROE, TX 77304 |
| Location Phone | (936) 441-9680 |
| Mailing Address | 100 MEDICAL CENTER BLVD SUITE 200 CONROE, TX 77304 |
| Gender | Male |
| NPI Entity Type | Individual |
| 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 |
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 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 Memorial Hermann Hospital System, Hca Houston Healthcare Conroe, Aspire Hospital, Houston Methodist The Woodlands Hospital and Houston Methodist The Woodlands Hospital.
The provider participated in Medicare's 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 provider also has detailed performance information the following quality measures: e-prescribing, provide patients electronic access to their health information, query of the prescription drug monitoring program (pdmp), security risk analysis and support electronic referral loops by sending health information.
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
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.
| Taxonomy Code | 207RI0011X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Interventional Cardiology |
| 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
100 MEDICAL CENTER BLVD
SUITE 200
CONROE, TX
ZIP 77304
Phone: (936) 441-9680
Fax: (936) 539-9685
Mailing Address
100 MEDICAL CENTER BLVD
SUITE 200
CONROE, TX
ZIP 77304
Phone: (936) 441-9680
Fax: (936) 539-9685
Location Map
PECOS Enrollment and Medicare Participation Status
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 ID | 42483414 |
| PECOS Enrollment ID | I20111031000293 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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% | 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. |
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| Promoting Interoperability (PI) | 25% | 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. |
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| 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. |
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| 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. |
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| MIPS Final Score | - | 89.7 | |
| 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. | |||
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| e-Prescribing | 96% | 1489 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT. | ||
| Provide Patients Electronic Access to Their Health Information | 84% | 735 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT). | ||
| Query of the Prescription Drug Monitoring Program (PDMP) | Yes | N/A |
| For at least one Schedule II opioid electronically prescribed using CEHRT during the performance period, the MIPS eligible clinician uses data from CEHRT to conduct a query of a Prescription Drug Monitoring Program (PDMP) for prescription drug history, except where prohibited and in accordance with applicable law. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Support Electronic Referral Loops By Sending Health Information | 7% | 44 |
| For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider - (1) creates a summary of care record using certified electronic health record technology (CEHRT); and (2) electronically exchanges the summary of care record. | ||
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.
- 257Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
- 246Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
- 52Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
- 44Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
- 43Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
- 36Remote evaluations of single, dual, or multiple lead pacemaker system with qualified health care professional analysis, review, and report, up to 90 days (HCPCS:93294)
- 30Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
- 25Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
- 12Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
- 12Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report (HCPCS:93018)
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 |
|---|---|---|---|---|---|
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP WEST HOUSTON, TX 77008 | (713) 448-6796 | Acute Care Hospitals | 450184 | |
| HCA HOUSTON HEALTHCARE CONROE | 504 MEDICAL CENTER BLVD CONROE, TX 77304 | (936) 539-1111 | Acute Care Hospitals | 450222 | |
| ASPIRE HOSPITAL | 2006 SOUTH LOOP 336 WEST, SUITE 500 CONROE, TX 77304 | (936) 647-3500 | Acute Care Hospitals | 670093 | |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL | 17201 INTERSTATE 45 SOUTH THE WOODLANDS, TX 77385 | (936) 270-2000 | Acute Care Hospitals | 670122 | |
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 |
|---|---|---|---|
| 4651372963 | OTHER (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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 7 | 2 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 14 | 2 | 0 | |
| 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 = 4 | 4 | ||||||||
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 |
|---|---|---|---|
| 1003813619 | DR. JUNE-CHIEH CHANG M.D. Individual | Legal Medicine | 100 MEDICAL CENTER BLVD STE 102 CONROE, TX 77304 (936) 756-9522 |
| 1114976560 | VIS PROCEDURE CENTER, PA Organization | Specialist | 100 MEDICAL CENTER BLVD SUITE 118 CONROE, TX 77304 (936) 539-4031 |
| 1801847330 | VASCULAR & INTERVENTIONAL SP Organization | Specialist | 100 MEDICAL CENTER BLVD SUITE 118 CONROE, TX 77304 (936) 539-4031 |
| 1285675033 | DR. CAROL LYNN COGLIANESE M.D. Individual | Specialist | 100 MEDICAL CENTER BLVD SUITE 212 CONROE, TX 77304 (936) 756-1322 |
| 1588695183 | DR. CHRISTOPHER BUN-HUNG WONG M.D. Individual | Internal Medicine (Cardiovascular Disease) | 100 MEDICAL CENTER BLVD STE 213 CONROE, TX 77304 (936) 760-2544 |
| 1770591349 | ADVANCED ALLERGY CARE Organization | Allergy & Immunology (Allergy) | 100 MEDICAL CENTER BLVD #120 CONROE, TX 77304 (936) 441-9944 |
| 1174769921 | CHRISTOPHER WONG MD PA Organization | Internal Medicine (Cardiovascular Disease) | 100 MEDICAL CENTER BLVD STE 213 CONROE, TX 77304 (936) 760-2544 |
| 1437192622 | MR. YOUSUF AHMED MD Individual | Pediatrics | 100 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 | Specialist | 100 MEDICAL CENTER BLVD STE 213 CONROE, TX 77304 (936) 539-8155 |
| 1013007343 | MR. JOHN A STARTZ MD Individual | Internal Medicine | 100 MEDICAL CENTER BLVD STE 104 CONROE, TX 77304 (936) 756-2888 |
| 1497959076 | DR. WESLEY THOMAS MYERS MD Individual | Surgery (Plastic and Reconstructive Surgery) | 100 MEDICAL CENTER BLVD SUITE 213 CONROE, TX 77304 (936) 539-8115 |
| 1184046070 | SAULETTE QUEEN, MD, PLLC Organization | Internal Medicine (Cardiovascular Disease) | 100 MEDICAL CENTER BLVD STE. 200 CONROE, TX 77304 (713) 376-0814 |
| 1356589956 | MRS. PREETI DESAI M.D. Individual | Internal Medicine (Cardiovascular Disease) | 100 MEDICAL CENTER BLVD SUITE 200 CONROE, TX 77304 (936) 441-9680 |
| 1356376891 | DR. 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 Practitioner | 100 MEDICAL CENTER BLVD STE 200 CONROE, TX 77304 (936) 441-9680 |
| 1285660803 | DIMITRIOS SPIROS MANTZOROS DPM Individual | Podiatrist | 100 MEDICAL CENTER BLVD STE 216 CONROE, TX 77304 (936) 756-9191 |
| 1518185719 | DR. GURPREET K MUKKER DPM Individual | Podiatrist | 100 MEDICAL CENTER BLVD STE 216 CONROE, TX 77304 (936) 756-9191 |
| 1881857951 | TIMOTHY CASPERSON DPM Individual | Podiatrist | 100 MEDICAL CENTER BLVD SUITE 216 CONROE, TX 77304 (936) 756-9191 |
| 1154571883 | DIMITRIOS MANTZOROS Organization | Durable Medical Equipment & Medical Supplies | 100 MEDICAL CENTER BLVD STE 216 CONROE, TX 77304 (936) 756-9191 |
Frequently Asked Questions
What is Hussein Yamani MD NPI number?
The NPI number assigned to this healthcare provider is 1003007204, registered as an "individual" on August 05, 2007
Where is Hussein Yamani MD located?
The provider is located at 100 Medical Center Blvd Suite 200 Conroe, Tx 77304 and the phone number is (936) 441-9680
Which is Hussein Yamani MD specialty?
The provider's speciality is Internal Medicine with a focus in Interventional Cardiology
How many years of experience does Hussein Yamani MD have?
The provider has more than 19 years of experience. He graduated from University Of Texas Medical Branch At Galveston in 2004.
What insurance does Hussein Yamani MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Hussein Yamani MD registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.
What are Hussein Yamani MD Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences. The provider obtained a high score in the following performance measures: e-Prescribing , Provide Patients Electronic Access to Their Health Information. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
How much is a visit to Hussein Yamani MD?
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.
What are some of the services provided by Hussein Yamani MD?
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.
Is Hussein Yamani MD affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: MEMORIAL HERMANN HOSPITAL SYSTEM, HCA HOUSTON HEALTHCARE CONROE, ASPIRE HOSPITAL, HOUSTON METHODIST THE WOODLANDS HOSPITAL and . Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Hussein Yamani MD 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]
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