1. Home
  2. Directory
  3. Louisiana
  4. Bogalusa
  5. Internal Medicine
  6. NPI Profile

HAMID HUSSAIN M.D.
NPI 1225018989
Internal Medicine - Gastroenterology in Bogalusa, LA

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
433 PLAZA ST STE 2A, BOGALUSA, LA 70427(985) 730-7020(985) 730-7022 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hamid Hussain M.d. NPPES

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

HAMID HUSSAIN M.D. (NPI 1225018989) is an individual gastroenterology provider in Bogalusa, Louisiana, licensed in Louisiana (13335R) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with North Oaks Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1225018989
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameHAMID HUSSAINCredential: M.D.
Location Address433 PLAZA ST STE 2ABogalusa, LA 70427-3729
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 765-5727 · Fax (225) 765-9196
Phone(985) 730-7020
Fax(985) 730-7022
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 19, 2006
Last NPPES UpdateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1225018989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in LA · 13335R
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 13335R (LA)
433 PLAZA ST STE 2A, Bogalusa, LA 70427
Open in Google Maps ↗

Other Identifiers 2

Medicaid1182770LA
OtherG6438LA · Bluecross Blueshield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Hamid Hussain 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 ID8921050832
PECOS Enrollment IDI20050218000129
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 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
184 services96 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
94 services91 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
70 services70 patients
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.
68 services32 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
61 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services29 patients

Hospital Affiliations CMS Care Compare 5

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

North Oaks Medical Center

Acute Care Hospitals · Hammond, LA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190015
Location15790 Paul Vega MD DriveHammond, LA 70403 · Tangipahoa County
Emergency services Birthing friendly

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Our Lady Of The Angels Hospital

Acute Care Hospitals · Bogalusa, LA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190312
Location433 Plaza StreetBogalusa, LA 70427 · Washington County
Emergency services Birthing friendly

Riverside Medical Center

Critical Access Hospitals · Franklinton, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191313
Location1900 South Main StFranklinton, LA 70438 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70427 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%248 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%727 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%96 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%164 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
8%164 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 3% · 35 patients
3%35 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

PATTI C. WASCOM F.N.P.
Nurse Practitioner (Family)
433 PLAZA ST STE 2A
BOGALUSA, LA 70427
Washington Parish (985) 730-7020

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 Hamid Hussain's NPI number?

The NPI number for Hamid Hussain is 1225018989. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Hamid Hussain located?

Hamid Hussain practices at 433 Plaza St Ste 2A, Bogalusa, LA 70427. The listed phone number is (985) 730-7020.

What is Hamid Hussain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Hamid Hussain enrolled in Medicare?

Yes. Hamid 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.

What insurance does Hamid Hussain accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Hamid 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.

Is Hamid Hussain affiliated with any hospitals?

According to CMS data, Hamid Hussain is affiliated with North Oaks Medical Center, St Tammany Parish Hospital, East Jefferson General Hospital, Our Lady Of The Angels Hospital and Riverside Medical Center.

When was this NPI record last updated?

The NPPES record for Hamid Hussain was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.