Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IRAM HUSSAIN MD
NPI 1255658340
Internal Medicine - Endocrinology, Diabetes & Metabolism in Galveston, TX

Active since April 28, 2010PECOS Enrolled
74.59/100
CMS Quality Rating
400 HARBORSIDE DR, STE 100, GALVESTON, TX 77555(409) 772-0700(409) 747-7012 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Iram Hussain Md NPPES

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

IRAM HUSSAIN MD (NPI 1255658340) is an individual endocrinology, diabetes & metabolism provider in Galveston, Texas, licensed in Texas (P6188) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1255658340
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameIRAM HUSSAINCredential: MD
Location Address400 HARBORSIDE DR, STE 100Galveston, TX 77555-0001
Mailing AddressP.o. Box 845347Dallas, TX 75284-5347 · (214) 645-2800 · Fax (214) 645-0078
Fax(409) 747-7012
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 28, 2010
Last NPPES UpdateOctober 26, 2026
NPPES CertifiedOctober 26, 2026
✔ NPI 1255658340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · P6188
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
400 HARBORSIDE DR, Galveston, TX 77555

Secondary Practice Location 1

Location 15323 Harry Hines BoulevardDallas, TX 75390-7201 · Phone (214) 645-2800 · Fax (214) 645-0078

Accepted 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

Iram 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 ID5294040440
PECOS Enrollment IDI20150817002024
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 Iram Hussain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
4900 MUELLER BLVD
Austin, TX 78723
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

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.
118 services86 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
58 services55 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services34 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 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.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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
$131.16 typical visit price
range $57.19 – $173.07
Typical copayment $32.79 (range $14.29 – $43.26)
Most-billed visit code 99204
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers39 claims39 services$199.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychiatry & Neurology (Psychiatry)
400 HARBORSIDE DR, STE 118-119
GALVESTON, TX 77555
Internal Medicine (Geriatric Medicine)
400 HARBORSIDE DR
GALVESTON, TX 77555
Physician Assistant
400 HARBORSIDE DR, STE 109
GALVESTON, TX 77555
Family Medicine
400 HARBORSIDE DR, STE 104
GALVESTON, TX 77555
Family Medicine
400 HARBORSIDE DR, STE 104
GALVESTON, TX 77555
Pediatrics
400 HARBORSIDE DR
GALVESTON, TX 77555
Psychiatry & Neurology (Psychiatry)
400 HARBORSIDE DR, STE 118-119
GALVESTON, TX 77555
Nurse Practitioner
400 HARBORSIDE DR
GALVESTON, TX 77555

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 Iram Hussain's NPI number?

The NPI number for Iram Hussain is 1255658340. It was assigned to this individual provider in the NPPES registry on April 28, 2010.

Where is Iram Hussain located?

Iram Hussain practices at 400 Harborside Dr Ste 100, Galveston, TX 77555. The listed phone number is (409) 772-0700.

What is Iram Hussain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Iram Hussain enrolled in Medicare?

Yes. Iram 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.

Which organization bills Medicare for Iram Hussain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Iram Hussain reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Austin, TX). 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 Iram Hussain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Iram Hussain accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Iram 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 Iram Hussain affiliated with any hospitals?

According to CMS data, Iram Hussain is affiliated with Parkland Health & Hospital System and Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Iram Hussain was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.