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HASHIM HUSSAIN D.O.
NPI 1073046819
Internal Medicine in Evansville, IN

Active since April 08, 2017PECOS EnrolledAccepts Medicare Assignment
95.57/100
CMS Quality Rating
3700 WASHINGTON AVENUE, EVANSVILLE, IN 47750(812) 485-7040(812) 485-7042 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 14, 2025, Jun 13, 2020 (2 updates tracked since 2020).

About Hashim Hussain D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HASHIM HUSSAIN D.O. (NPI 1073046819) is an individual internal medicine provider in Evansville, Indiana, licensed in Indiana (02006031A) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Evansville, and is a graduate of West Virginia School Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1073046819
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHASHIM HUSSAINCredential: D.O.
Location Address3700 WASHINGTON AVENUEEvansville, IN 47750-4654
Mailing Address3547 Montgomery CtNewburgh, IN 47630-2442
Phone(812) 485-7040
Fax(812) 485-7042
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2015
Enumeration DateApril 8, 2017
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1073046819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 02006031A
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3700 WASHINGTON AVENUE, Evansville, IN 47750
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hashim Hussain D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436571106
PECOS Enrollment IDI20200625001811
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Hashim Hussain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Mary's Medical Group, LLC
Same address
Family Medicine
3700 WASHINGTON AVE
Evansville, IN 47750
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: St Marys Medical Group LLC
  • 288 clinicians in this Medicare group
NPI 1164852539 (812) 485-4000
Vituity-Hm Services PC
0.3 mi
Hospitalist
3700 WASHINGTON AVE
Evansville, IN 47714
  • Reassigned Medicare billing, Indiana enrollment
  • 47 clinicians in this Medicare group
NPI 1700719499 (812) 485-8075

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
361 services154 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
246 services134 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
118 services116 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
101 services101 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent Evansville

Acute Care Hospitals · Evansville, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150100
Location3700 Washington AveEvansville, IN 47750 · Vanderburgh County
Emergency services Birthing friendly

Ascension St Vincent Warrick

Critical Access Hospitals · Boonville, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151325
Location1116 Millis AveBoonville, IN 47601 · Warrick County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47750 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.32
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$78.09 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$33.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT M FRANKLIN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3700 WASHINGTON AVENUE
EVANSVILLE, IN 47750
Vanderburgh County (812) 428-6727
ST. MARY'S PHYSICIAN NETWORK LLC.
Internal Medicine
3700 WASHINGTON AVENUE
EVANSVILLE, IN 47750
Vanderburgh County (812) 485-1220
CLAUDIA RING PT, WCS, CIMT
Physical Therapist
3700 WASHINGTON AVENUE
EVANSVILLE, IN 47750
Vanderburgh County (812) 485-4352
PRAKHAR ANAND MB BCH BAO
Student in an Organized Health Care Education/Training Program
3700 WASHINGTON AVENUE
EVANSVILLE, IN 47750
Vanderburgh County (812) 485-4422
SUSANNA R BURKHEAD MD
Pediatrics (Pediatric Critical Care Medicine)
3700 WASHINGTON AVENUE
EVANSVILLE, IN 47750
Vanderburgh County (812) 485-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hashim Hussain's NPI number?

The NPI number for Hashim Hussain is 1073046819. It was assigned to this individual provider in the NPPES registry on April 8, 2017.

Where is Hashim Hussain located?

Hashim Hussain practices at 3700 Washington Avenue, Evansville, IN 47750. The listed phone number is (812) 485-7040.

What is Hashim Hussain's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hashim Hussain enrolled in Medicare?

Yes. Hashim Hussain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Hashim Hussain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hashim Hussain reassigns Medicare benefits to 2 organizations: St Mary's Medical Group, LLC (Evansville, IN) and Vituity-Hm Services PC (Evansville, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hashim Hussain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Hashim Hussain affiliated with any hospitals?

According to CMS data, Hashim Hussain is affiliated with Ascension St Vincent Evansville and Ascension St Vincent Warrick.

When was this NPI record last updated?

The NPPES record for Hashim Hussain was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.