DR. SIBA EL HUSSEIN M.D.
NPI 1083003396
Pathology - Anatomic Pathology & Clinical Pathology in Burlington, VT
About Dr. Siba El Hussein M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SIBA EL HUSSEIN M.D. (NPI 1083003396) is an individual anatomic pathology & clinical pathology provider in Burlington, Vermont, licensed in Vermont (042-0017252) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains a secondary practice location in Miami Beach.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Dr. Siba El Hussein M.d. 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.
Medicare Billing Reassignments
5Medicare enrollment records show Siba El Hussein reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Burlington, VT 05401
- Reassigned Medicare billing, Vermont enrollment
- 1,643 clinicians in this Medicare group
Plattsburgh, NY 12901
- Reassigned Medicare billing, New York enrollment
- 675 clinicians in this Medicare group
Canandaigua, NY 14424
- Reassigned Medicare billing, New York enrollment
- 347 clinicians in this Medicare group
Rochester, NY 14620
- Reassigned Medicare billing, New York enrollment
- 1,624 clinicians in this Medicare group
Hornell, NY 14843
- Reassigned Medicare billing, New York enrollment
- 436 clinicians in this Medicare group
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 11
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Champlain Valley Physicians Hospital Medical Ctr
Acute Care Hospitals · Plattsburgh, NYThe University Of Vermont Health Network-Alice Hy
Critical Access Hospitals · Malone, NYCentral Vermont Medical Center
Acute Care Hospitals · Barre, VTUniv. Of Vermont - Fletcher Allen Health Care
Acute Care Hospitals · Burlington, VTNorthwestern Medical Center Inc
Acute Care Hospitals · Saint Albans, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
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 Siba El Hussein's NPI number?
The NPI number for Siba El Hussein is 1083003396. It was assigned to this individual provider in the NPPES registry on January 10, 2015.
Where is Siba El Hussein located?
Siba El Hussein practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-5121.
What is Siba El Hussein's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Siba El Hussein enrolled in Medicare?
Yes. Siba El Hussein 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 Siba El Hussein's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Siba El Hussein reassigns Medicare benefits to 5 organizations: University Of Vermont Medical Center Inc (Burlington, VT), Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY), The Frederick Ferris Thompson Hospital (Canandaigua, NY), University Of Rochester (Rochester, NY) and St James Hospital (Hornell, NY). 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 Siba El Hussein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Siba El Hussein accept?
Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Siba El Hussein as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Siba El Hussein affiliated with any hospitals?
According to CMS data, Siba El Hussein is affiliated with Champlain Valley Physicians Hospital Medical Ctr, The University Of Vermont Health Network-Alice Hy, Central Vermont Medical Center, Univ. Of Vermont - Fletcher Allen Health Care and Northwestern Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Siba El Hussein was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Siba El Hussein, M.D. · NPI 1083003396
Anatomic Pathology & Clinical Pathology physician in Burlington, Vermont. Individual provider, active in the CMS NPPES registry since January 10, 2015.
## Identity
- **NPI:** 1083003396 (Entity type: Individual)
- **Enumerated:** January 10, 2015
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 042-0017252 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 COLCHESTER AVE, Burlington, VT 05401-1473
- **Phone:** (802) 847-5121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): University Of Vermont Medical Center Inc (NPI 1659309615, Burlington, VT); Champlain Valley Physicians Hospital Medical Center (NPI 1033270699, Plattsburgh, NY); The Frederick Ferris Thompson Hospital (NPI 1194776351, Canandaigua, NY); University Of Rochester (NPI 1982787537, Rochester, NY); St James Hospital (NPI 1013985399, Hornell, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** December 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1083003396) · Data from the CMS NPPES public registry.