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DR. ABID HUSSAIN M.D.
NPI 1164620340
Pediatrics in Mayfield, KY

Active since July 10, 2007PECOS Enrolled
417 S 6TH ST, MAYFIELD, KY 42066(270) 247-1104(270) 247-1107 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Mar 21, 2018 (2 updates tracked since 2018).

About Dr. Abid Hussain M.d. NPPES

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

DR. ABID HUSSAIN M.D. (NPI 1164620340) is an individual pediatrics provider in Mayfield, Kentucky, licensed in Kentucky (41115) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164620340
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ABID HUSSAINCredential: M.D.
Location Address417 S 6TH STMayfield, KY 42066-2311
Mailing Address417 S 6th StMayfield, KY 42066-2311 · (270) 247-1104 · Fax (270) 247-1107
Phone(270) 247-1104
Fax(270) 247-1107
Sole ProprietorYes
Enumeration DateJuly 10, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1164620340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 41115
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
417 S 6TH ST, Mayfield, KY 42066
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Other Identifiers 1

Other41115KY · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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 (PECOS)

Dr. Abid Hussain M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Abid Hussain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinelake Physician Practice LLC
0.3 mi
Rural Health
110 S 9TH ST
Mayfield, KY 42066
  • Reassigned Medicare billing, Kentucky enrollment
  • 71 clinicians in this Medicare group
NPI 1679061071 (270) 247-7795

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42066 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 5

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

MAYFIELD PEDIATRIC CLINIC PLLC
Pediatrics
417 S 6TH ST
MAYFIELD, KY 42066
Graves County (270) 247-1104
PINELAKE PHYSICIAN PRACTICE LLC
Clinic/Center (Rural Health)
417 S 6TH ST
MAYFIELD, KY 42066
Graves County (270) 247-1104
KAREN YEVETT DECKARD PT
Physical Therapist
417 S 6TH ST, SUITE A
MAYFIELD, KY 42066
Graves County (270) 251-3590
NICOLE SCHMIDT APRN
Nurse Practitioner (Family)
417 S 6TH ST
MAYFIELD, KY 42066
Graves County (270) 247-1104
PINELAKE PHYSICIAN PRACTICE LLC
Clinic/Center (Rural Health)
417 S 6TH ST
MAYFIELD, KY 42066
Graves County (270) 247-1104

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 Abid Hussain's NPI number?

The NPI number for Abid Hussain is 1164620340. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Abid Hussain located?

Abid Hussain practices at 417 S 6th St, Mayfield, KY 42066. The listed phone number is (270) 247-1104.

What is Abid Hussain's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Abid Hussain enrolled in Medicare?

Yes. Abid Hussain is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Abid Hussain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abid Hussain reassigns Medicare benefits to Pinelake Physician Practice LLC (Mayfield, KY). The 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 Abid Hussain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abid Hussain accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Abid Hussain 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.

When was this NPI record last updated?

The NPPES record for Abid Hussain was last updated on March 7, 2023. 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.