HUSSAM KUJOK MD NPI 1013081611
Internal Medicine in Carmichael, CA

About HUSSAM KUJOK MD

Hussam Kujok is an internist established in Carmichael, California and his medical specialization is Internal Medicine with more than 29 years of experience. The NPI number of Hussam Kujok is 1013081611 and was assigned on November 2006. The practitioner's primary taxonomy code is 207R00000X with license number A92291 (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1013081611
Provider Name HUSSAM KUJOK MD
Location Address3609 MISSION AVE SUITE A CARMICHAEL, CA 95608
Location Phone(916) 971-9000
Mailing Address3609 MISSION AVE SUITE A CARMICHAEL, CA 95608
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1994
Is Sole Proprietor?No
Enumeration Date11-17-2006
Last Update Date03-09-2016

An internist like Hussam Kujok 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.Hussam Kujok 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.

Hussam Kujok 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 Sutter Roseville Medical Center and Sutter Medical Center, Sacramento.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.9, 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: $35.11 for a new patient copayment and $27.26 for an established patient copayment.

The CLIA number of Hussam Kujok Md is 05D2028879 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Hussam Kujok Md to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.



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 Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.A92291
License StateCA
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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

HUSSAM KUJOK MD
3609 MISSION AVE
SUITE A
CARMICHAEL, CA
ZIP 95608
Phone: (916) 971-9000
Fax: (916) 971-9010

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Mailing Address

HUSSAM KUJOK MD
3609 MISSION AVE
SUITE A
CARMICHAEL, CA
ZIP 95608
Phone: (916) 971-9000
Fax: (916) 971-9010


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 ID1557466000
PECOS Enrollment IDI20070412000192
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 95608 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
$61.52 $185.29 $140.46
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.38 $46.32 $35.11
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
$19.52 $151.94 $109.06
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.88 $37.98 $27.26

* 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% 87
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% 76.9
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 - 95.9
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.

  • 159Administration of influenza virus vaccine (HCPCS:G0008)
  • 76Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 70Destruction of 2-14 skin growths (HCPCS:17003)
  • 48Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 20Urinalysis, manual test (HCPCS:81002)
  • 18Destruction of skin growth (HCPCS:17000)
  • 18Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 12Removal of impact ear wax, one ear (HCPCS:69210)

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. Hussam Kujok is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SUTTER ROSEVILLE MEDICAL CENTERONE MEDICAL PLAZA
ROSEVILLE, CA 95661
(916) 781-1000Acute Care Hospitals50309
SUTTER MEDICAL CENTER, SACRAMENTO2825 CAPITOL AVENUE
SACRAMENTO, CA 95816
(916) 733-8999Acute Care Hospitals50108

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013081611 is:

CLIA Number05D2028879
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine4301095251MINo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2208M00000XAllopathic & Osteopathic PhysiciansHospitalistA92291CANo

Taxonomy Description: hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

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
I70504MEDICARE UPIN (02)

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.
1013081611
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202308262
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 2 + 6 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1013081611 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588660740 NED J WHITCOMB MD
Individual
Allergy & Immunology (Allergy)3609 MISSION AVE STE A
CARMICHAEL, CA 95608
(916) 972-1888
1609874635MR. ARTHUR WILLIAM BAUDENDISTEL PT, DCS, COMT
Individual
Physical Therapist (Orthopedic)3609 MISSION AVE STE C
CARMICHAEL, CA 95608
(916) 487-4681
1952361412 RODERICK G S SANDEN M.D.
Individual
Neuromusculoskeletal Medicine & OMM3609 MISSION AVE STE F
CARMICHAEL, CA 95608
(916) 484-4444
1962446146DR. CHARLES NEWENS D.D.S.
Individual
Dentist3609 MISSION AVE SUITE E
CARMICHAEL, CA 95608
(916) 332-9240
1366552143DR. CARL HALLER MD
Individual
Internal Medicine (Geriatric Medicine)3609 MISSION AVE SUITE D
CARMICHAEL, CA 95608
(916) 483-3437
1629159843DR. OKSANA KULINICH DDS
Individual
Dentist (General Practice)3609 MISSION AVE SUITE B
CARMICHAEL, CA 95608
(916) 488-5781
1215177548MRS. THERESA MARIE SANDEN RN MSN FNP
Individual
Nurse Practitioner (Family)3609 MISSION AVE SUITE F
CARMICHAEL, CA 95608
(916) 484-4444
1205010543DR. MARJORIE A. MOJICA-JARA DMD
Individual
Dentist3609 MISSION AVE SUITE B
CARMICHAEL, CA 95608
(916) 488-5781
1225321292HUSSAM KUJOK MD INC
Organization
Internal Medicine3609 MISSION AVE SUITE A
CARMICHAEL, CA 95608
(916) 971-9000
1639624497 MATTHEW JAMES BAUDENDISTEL DPT
Individual
Clinic/Center (Physical Therapy)3609 MISSION AVE SUITE C
CARMICHAEL, CA 95608
(916) 487-4681

Frequently Asked Questions

What is Hussam Kujok MD NPI number?

The NPI number assigned to Hussam Kujok MD is 1013081611, registered as an "individual" on November 17, 2006

Where is Hussam Kujok MD located?

The provider is located at 3609 Mission Ave Suite A Carmichael, Ca 95608 and the phone number is (916) 971-9000

Which is Hussam Kujok MD specialty?

The provider's speciality is Internal Medicine

How many years of experience does Hussam Kujok MD have?

The provider has more than 29 years of experience.

What insurance does Hussam Kujok MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Hussam Kujok MD registered in PECOS?

Yes, as of November 14, 2022 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.

How much is a visit to Hussam Kujok MD?

Medicare beneficiaries should expect a typical cost of $140.46 with an average copayment of $35.11 for new patient appointments. Established patients should expect a typical charge of $109.06 and an average copayment of 27.26. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Hussam Kujok MD?

The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Destruction of 2-14 skin growths, Routine EKG using at least 12 leads including interpretation and report, Urinalysis, manual test, Destruction of skin growth, Aspiration and/or injection of large joint or joint capsule and Removal of impact ear wax, one ear.

What is Hussam Kujok MD CLIA number?

The provider's CLIA number is 05D2028879 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

Is Hussam Kujok MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: SUTTER ROSEVILLE MEDICAL CENTER and SUTTER MEDICAL CENTER, SACRAMENTO. 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 Hussam Kujok MD was last updated on November 17, 2006. 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 at: [email protected]