ZEESHAN GULAM HUSSAIN MD
NPI 1164075768
Hospitalist in Worcester, MA

Active since July 23, 2019PECOS EnrolledAccepts Medicare Assignment
123 SUMMER ST, WORCESTER, MA 01608(508) 363-5000 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2022, Feb 22, 2022, Jul 23, 2019 (3 updates tracked since 2019).

About Zeeshan Gulam Hussain Md NPPES

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

ZEESHAN GULAM HUSSAIN MD (NPI 1164075768) is an individual hospitalist provider in Worcester, Massachusetts, licensed in Massachusetts (291427) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164075768
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameZEESHAN GULAM HUSSAINCredential: MD
Location Address123 SUMMER STWorcester, MA 01608-1216
Mailing Address123 Summer StWorcester, MA 01608-1216 · (508) 363-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 23, 2019
Last NPPES UpdateAugust 8, 20223 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
NPI 1164075768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MA · 291427
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 280061 (MA)
123 SUMMER ST, Worcester, MA 01608

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Zeeshan Gulam Hussain Md 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 ID4688057813
PECOS Enrollment IDI20220819002028
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.

Areas of Expertise CMS Part B claims 4

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 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.
465 services172 patients
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.
203 services108 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.
161 services154 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.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01608 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

Hospitalist
123 SUMMER ST
WORCESTER, MA 01608
Podiatrist (Foot & Ankle Surgery)
123 SUMMER ST, DEPARTMENT OF PODIATRY
WORCESTER, MA 01608
Internal Medicine
123 SUMMER ST
WORCESTER, MA 01608
Student in an Organized Health Care Education/Training Program
123 SUMMER ST
WORCESTER, MA 01608
Nurse Anesthetist, Certified Registered
123 SUMMER ST
WORCESTER, MA 01608
Pathology (Anatomic Pathology & Clinical Pathology)
123 SUMMER ST
WORCESTER, MA 01608
Obstetrics & Gynecology (Obstetrics)
123 SUMMER ST, SUITE 560
WORCESTER, MA 01608
Physician Assistant
123 SUMMER ST
WORCESTER, MA 01608

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 Zeeshan Gulam Hussain's NPI number?

The NPI number for Zeeshan Gulam Hussain is 1164075768. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Zeeshan Gulam Hussain located?

Zeeshan Gulam Hussain practices at 123 Summer St, Worcester, MA 01608. The listed phone number is (508) 363-5000.

What is Zeeshan Gulam Hussain's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Zeeshan Gulam Hussain enrolled in Medicare?

Yes. Zeeshan Gulam 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.

Is Zeeshan Gulam Hussain affiliated with any hospitals?

According to CMS data, Zeeshan Gulam Hussain is affiliated with Heywood Hospital and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Zeeshan Gulam Hussain was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.