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TAHER MUSTAFA GULAMHUSEIN M.D.
NPI 1154765477
Surgery in Warwick, RI

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
455 TOLL GATE RD, WARWICK, RI 02886(401) 738-6611(401) 921-6952 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2026, Oct 13, 2022, Feb 24, 2020 and 1 more (4 updates tracked since 2018).

About Taher Mustafa Gulamhusein M.d. NPPES

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

TAHER MUSTAFA GULAMHUSEIN M.D. (NPI 1154765477) is an individual surgery provider in Warwick, Rhode Island, licensed in Rhode Island (MD18832) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Huggins Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154765477
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTAHER MUSTAFA GULAMHUSEINCredential: M.D.
Location Address455 TOLL GATE RDWarwick, RI 02886-2759
Mailing Address27721 Tomball Pkwy Ste 400Tomball, TX 77375-6579 · (281) 374-4779
Phone(401) 738-6611
Fax(401) 921-6952
Sole ProprietorNo
Medical School CMSUniversity Of Texas At Austin Dell Medical SchoolGraduated 2009
Enumeration DateApril 18, 2013
Last NPPES UpdateJanuary 5, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1154765477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in RI · MD18832✔ Licensed in TX · S1112✔ Licensed in OR · MD214502
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
455 TOLL GATE RD, Warwick, RI 02886
Open in Google Maps ↗

Secondary Practice Locations 3

Location 112015 Louetta Rd Ste 200Houston, TX 77070-1148 · Phone (281) 370-7272
Location 2930 SW Abbey St Ste BNewport, OR 97365-4820 · Phone (541) 574-7235
Location 3930 SW Abbey St Ste ANewport, OR 97365-4820 · Phone (541) 265-8816

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and more.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

Taher Mustafa Gulamhusein 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.

PECOS PAC ID3779847637
PECOS Enrollment IDI20220831000174
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

5

Medicare enrollment records show Taher Gulamhusein reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Winchester Physician Associates, Inc
54 mi
Internal Medicine
11 SHORE RD
Winchester, MA 01890
  • Reassigned Medicare billing, Massachusetts enrollment
  • 221 clinicians in this Medicare group
NPI 1184606865 (781) 729-1810
Huggins Hospital
121 mi
Family Medicine
27 NEW DURHAM ROAD
Alton, NH 03809
  • Reassigned Medicare billing, New Hampshire enrollment
  • Also billed through NPI 1366476079 (New Hampshire)
  • 43 clinicians in this Medicare group
NPI 1871534792 (603) 875-6151
Wilbarger County Hospital District
1,599 mi
General Acute Care Hospital
920 HILLCREST DR
Vernon, TX 76384
  • Reassigned Medicare billing, Texas enrollment
  • 18 clinicians in this Medicare group
NPI 1316931835 (940) 552-9351
Blue Mountain Hospital District
2,377 mi
Critical Access
170 FORD RD
John Day, OR 97845
  • Reassigned Medicare billing, Oregon enrollment
  • 32 clinicians in this Medicare group
NPI 1356414395 (541) 575-1311
Mid-Valley Healthcare, Inc.
2,556 mi
Rural Health
1289 49TH AVE STE 102
Sweet Home, OR 97386
  • Reassigned Medicare billing, Oregon enrollment
  • 414 clinicians in this Medicare group
NPI 1528334125 (541) 451-6250

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

Hospital Affiliations CMS Care Compare

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

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301312
Location240 South Main StreetWolfeboro, NH 03894 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. STERLING LEAF MALISH M.D.
Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7000
MRS. JENNIFER JENNINGS NP
Nurse Practitioner (Adult Health)
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010
SABRINA O'DONNELL FNP-BC
Nurse Practitioner (Family)
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7000
CHRISTOPHER BAZE DO
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010
KELLY SANCHEZ MD
Family Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010
KENNETH ROBERT LARSEN D.O
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 736-4289
JOHN A GELZHISER M.D.
Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7000
RICHARD J PEDRO D.O.
Anesthesiology
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010

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 Taher Gulamhusein's NPI number?

The NPI number for Taher Gulamhusein is 1154765477. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Taher Gulamhusein located?

Taher Gulamhusein practices at 455 Toll Gate Rd, Warwick, RI 02886. The listed phone number is (401) 738-6611.

What is Taher Gulamhusein's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Taher Gulamhusein enrolled in Medicare?

Yes. Taher Gulamhusein 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 Taher Gulamhusein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taher Gulamhusein reassigns Medicare benefits to 5 organizations: Winchester Physician Associates, Inc (Winchester, MA), Huggins Hospital (Alton, NH), Wilbarger County Hospital District (Vernon, TX), Blue Mountain Hospital District (John Day, OR) and Mid-Valley Healthcare, Inc. (Sweet Home, OR). 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 Taher Gulamhusein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taher Gulamhusein accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Taher Gulamhusein 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 Taher Gulamhusein affiliated with any hospitals?

According to CMS data, Taher Gulamhusein is affiliated with Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Taher Gulamhusein was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.