DR. MIRWAIS HUSSAINY DDS
NPI 1003012857
Dentist - Oral and Maxillofacial Surgery in Santa Ana, CA

NPI Status: Active since June 26, 2007

Contact Information

2 MACARTHUR PL STE 700
SANTA ANA, CA
ZIP 92707
Phone: (714) 708-5361

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  • Individual
  • Male
  • Dentist
  • Oral and Maxillofacial Surgery
  • PECOS Enrolled

About MIRWAIS HUSSAINY

Mirwais Hussainy is a provider established in Santa Ana, California and his medical specialization is Dentist with a focus in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1003012857 assigned on June 2007. The practitioner's primary taxonomy code is 1223S0112X with license number 52401 (CA). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1003012857
Provider Name
DR. MIRWAIS HUSSAINY DDS
Gender
Male
Entity Type
Individual
Location Address
2 MACARTHUR PL STE 700 SANTA ANA, CA 92707
Location Phone
(714) 708-5361
Mailing Address
2607 MOUNDGLEN LN SPRING VALLEY, CA 91977
Mailing Phone
(310) 920-1444
Is Sole Proprietor?
Yes
Enumeration Date
06-26-2007
Last Update Date
07-08-2007
Code Navigator

A dentist like Mirwais Hussainy is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
52401
License State
CA
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Insurance Plans Accepted

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

  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Blue Priority/Lean 0 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Blue Priority/Lean 0% for HSA - HMO
    • Anthem Bronze Blue Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Blue Priority/Lean 7500/50% Standard - HMO
    • Anthem Bronze Blue Priority/Lean 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Pathway 20% for HSA - EPO
    • Anthem Bronze Pathway 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Bronze Pathway 6500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Bronze Pathway 7500/50% Standard - EPO
    • Anthem Bronze Pathway 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • BEST Life

    • BEST Dental Advantage - Gold - PPO
    • BEST Dental Plus - Gold - PPO
    • BESTne Advantage Gold - Indemnity
    • BESTOne Advantage Gold - Indemnity
    • BESTOne Advantage Gold - PPO
    • BESTOne Advantage High - PPO
    • BESTOne Base Low - PPO
    • BESTOne Base Silver - Indemnity
    • BESTOne Base Silver - PPO
    • BESTOne Basic - PPO
  • Blue Cross and Blue Shield of Alabama

    • Blue HSA Bronze - PPO
    • Blue Protect - PPO
    • Blue Saver Bronze - PPO
    • Blue Value Gold - PPO
    • Blue Value Silver - PPO
    • Blue Access Gold for Business - PPO
    • Blue Choice Platinum for Business - PPO
    • Blue HSA Silver for Business - PPO
    • Blue Saver Bronze for Business - PPO
    • Blue Saver Gold for Business - PPO
  • Florida Combined Life

    • BlueDental Copayment Q - PPO
    • BlueDental Copayment QF - PPO
  • Humana

    • Humana Dental Smart Choice - PPO
    • Humana Dental Smart Choice - High - PPO
    • Humana Dental Smart Choice - Lite - PPO
    • Humana Dental Smart Choice - Low - PPO
    • Humana Dental Smart Choice Basic - PPO
    • Humana Dental Smart Choice- Lite - PPO
  • Paramount

    • Paramount Dental Essential Plus Plan - EPO
    • Paramount Dental Essential Plus Plan - PPO
    • Paramount Dental Preventive Family Plan - EPO
    • Paramount Dental Preventive Family Plan - PPO
    • Paramount Dental Total Care Plan - EPO
    • Paramount Dental Total Care Plan - PPO
  • Paramount Dental

    • Paramount Dental Essential Plus Plan - HMO
    • Paramount Dental Preventive Family Plan - HMO
    • Paramount Dental Total Care Plan - HMO
  • Renaissance Dental

    • Alabama Preferred Plan - PPO
    • Alabama Preferred Plan (Pediatric Only) - PPO
    • Alabama Preferred Plus Plan - PPO
    • Alabama Preferred Plus Plan (Pediatric Only) - PPO
    • Alabama Wellness Essentials Plan - PPO
    • Florida Preferred Plan - PPO
    • Florida Preferred Plan (Pediatric Only) - PPO
    • Florida Preferred Plus Plan - PPO
    • Florida Preferred Plus Plan (Pediatric Only) - PPO
    • Florida Wellness Essentials Plan - PPO
  • UnitedHealthcare

    • Smile Now Arizona - No Waiting Period PPO - PPO
    • Smile Now Illinois - No Waiting Period PPO - PPO
    • Smile Now Michigan - No Waiting Period PPO - PPO
    • Smile Now Ohio - No Waiting Period PPO - PPO
    • Smile Now Texas- No Waiting Period PPO - PPO

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

PECOS Enrollment and Medicare Participation Status

Mirwais Hussainy 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) and a Home Health Agency (HHA).

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

  • 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: No

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 92707 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $99.5
  • Minimum New Patient Price $65.18
  • Maximum New Patient Price $194.87
  • Average New Patient Copayment $24.87
  • Minimum New Patient Copayment $16.29
  • Maximum New Patient Copayment $48.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $81.14
  • Minimum Established Patient Price $20.89
  • Maximum Established Patient Price $159.82
  • Average Established Patient Copayment $20.28
  • Minimum Established Patient Copayment $5.22
  • Maximum Established Patient Copayment $39.95

* 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.

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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.
1003012857
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003014810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 8 + 1 + 0 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1003012857 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003012857, enumerated in the NPI registry as an "individual" on June 26, 2007

The provider is located at 2 Macarthur Pl Ste 700 Santa Ana, Ca 92707 and the phone number is (714) 708-5361

The provider's speciality is Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 17, 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) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $99.5 with an average copayment of $24.87 for new patient appointments. Established patients should expect a typical charge of $81.14 and an average copayment of 20.28. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 26, 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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