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HUSSEIN ALSHAMMARI MD
NPI 1215463542
Psychiatry & Neurology - Neurology in Raleigh, NC

Active since May 05, 2017PECOS EnrolledAccepts Medicare Assignment
4420 LAKE BOONE TRL, RALEIGH, NC 27607(919) 784-3100(919) 784-7551 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, Jul 24, 2023 (2 updates tracked since 2023).

About Hussein Alshammari Md NPPES

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

HUSSEIN ALSHAMMARI MD (NPI 1215463542) is an individual neurology provider in Raleigh, North Carolina, licensed in North Carolina (2021-02417) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Johnston Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1215463542
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameHUSSEIN ALSHAMMARICredential: MD
Location Address4420 LAKE BOONE TRLRaleigh, NC 27607-6599
Mailing Address100 Woods RdValhalla, NY 10595-1530
Phone(919) 784-3100
Fax(919) 784-7551
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 5, 2017
Last NPPES UpdateAugust 29, 20252 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
✔ NPI 1215463542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in NC · 2021-02417✔ Licensed in WI · 85842
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4420 LAKE BOONE TRL, Raleigh, NC 27607
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1100 Woods RdValhalla, NY 10595-1530 · Phone (914) 493-7292
Location 2210 Medical Pavilion DrRaeford, NC 28376-9111 · Phone (910) 904-8000
Location 31818 N Meade StAppleton, WI 54911-3454 · Phone (920) 735-7645

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of NC, CareSource (Common Ground Healthcare).Insurance ›

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

Hussein Alshammari 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 ID1052718921
PECOS Enrollment IDI20230807003638, I20231220000413, I20250507000576, I20250615000022, I20250703003432, I20250709001328, I20250711001323
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
172 services86 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.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

NADER CYRUS EMAMI-KELISHADI PA
Physician Assistant
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (703) 585-0860
ERIC LINTON
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOSHUA DAVID FISHER FNP
Nurse Practitioner (Family)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
MALLORY WOLTERING RN
Registered Nurse (Critical Care Medicine)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOHN O COLLINS M.D.
Psychiatry & Neurology (Neurology)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-7093
ERIN D RUSINEK PA-C
Physician Assistant
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818
DONNA RANSOM CRNA
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3034
JOELLEN C SPECA M.D.
Internal Medicine (Hematology & Oncology)
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818

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 Hussein Alshammari's NPI number?

The NPI number for Hussein Alshammari is 1215463542. It was assigned to this individual provider in the NPPES registry on May 5, 2017.

Where is Hussein Alshammari located?

Hussein Alshammari practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-3100.

What is Hussein Alshammari's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Hussein Alshammari enrolled in Medicare?

Yes. Hussein Alshammari 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.

What insurance does Hussein Alshammari accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of NC and CareSource (Common Ground Healthcare) list Hussein Alshammari 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 Hussein Alshammari affiliated with any hospitals?

According to CMS data, Hussein Alshammari is affiliated with Johnston Health and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Hussein Alshammari was last updated on August 29, 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.