IMTIAZ HUSSAIN MD
NPI 1275610719
Internal Medicine - Pulmonary Disease in South Williamson, KY

Q: What is Imtiaz Hussain's NPI number?

The NPI number for Imtiaz Hussain is 1275610719. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Imtiaz Hussain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Imtiaz Hussain was last updated on June 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.

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

306 HOSPITAL DR, SOUTH WILLIAMSON, KY 41503(606) 237-4943(606) 237-1740 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2023, Apr 27, 2017 (2 updates tracked since 2017).

On this page

About Imtiaz Hussain Md NPPES

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

IMTIAZ HUSSAIN MD (NPI 1275610719) is an individual pulmonary disease provider in South Williamson, Kentucky, licensed in Kentucky (29223) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Taylor Regional Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1275610719

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameIMTIAZ HUSSAINCredential: MD

Location Address306 HOSPITAL DRSouth Williamson, KY 41503-4095

Mailing Address106 Keene Manor CirNicholasville, KY 40356-7910 · (859) 533-1467

Phone(606) 237-4943

Fax(606) 237-1740

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateNovember 1, 2006

Last NPPES UpdateJune 7, 20232 updates tracked since enumeration

NPPES CertifiedJune 7, 2023

✔ NPI 1275610719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in KY · 29223

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 29223 (KY)

306 HOSPITAL DR, South Williamson, KY 41503

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Secondary Practice Location 1

Location 11221 S BroadwayLexington, KY 40504-2701 · Phone (859) 258-4000

Other Identifiers 6

Other1473277Umwa Health & Retirement

Other000000202232Bcbs

Other010721900Federal Black Lung

Other611265801Brick Street Administrati

Medicaid64292238KY

Medicaid0075636000WV

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 and accepts Medicare assignment

Imtiaz 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 ID9739079997

PECOS Enrollment IDI20040319000461

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 Reassignments

Medicare enrollment records show Imtiaz Hussain reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Regional Healthcare, Inc.

Same address

Anatomic Pathology & Clinical Pathology

260 HOSPITAL DR
South Williamson, KY 41503

Reassigned Medicare billing, Kentucky enrollment
419 clinicians in this Medicare group

NPI 1679658199 (606) 237-1700

Williamson Emergency Physicians LLC

Same address

Emergency Medicine

260 HOSPITAL DR
South Williamson, KY 41503

Reassigned Medicare billing, Kentucky enrollment
65 clinicians in this Medicare group

NPI 1740492644 (606) 237-1700

Arh Tug Valley Health Services, Inc.

19 mi

Multi-Specialty

136 ROCKCASTLE RD
Inez, KY 41224

Reassigned Medicare billing, Kentucky enrollment
242 clinicians in this Medicare group

NPI 1841177136 (606) 788-6488

Beaver Creek Emergency Group LLC

26 mi

Emergency Medicine

11203 MAIN ST
Martin, KY 41649

Reassigned Medicare billing, Kentucky enrollment
26 clinicians in this Medicare group

NPI 1689165904 (606) 285-6490

Floyd Emergency Group, LLC

26 mi

Emergency Medicine

5000 KY ROUTE 321
Prestonsburg, KY 41653

Reassigned Medicare billing, Kentucky enrollment
57 clinicians in this Medicare group

NPI 1760834345 (606) 886-8511

St. Claire Medical Center,inc

52 mi

Rural Health

390 KY HWY 7 SOUTH
Sandy Hook, KY 41171

Reassigned Medicare billing, Kentucky enrollment
296 clinicians in this Medicare group

NPI 1447212493 (606) 738-5155

Southern Medical Partners, LLC

56 mi

Emergency Medicine

100 MEDICAL CENTER DRIVE
Hazard, KY 41701

Reassigned Medicare billing, Kentucky enrollment
153 clinicians in this Medicare group

NPI 1538109962 (606) 439-6651

Hyden Emergency Physicians, LLC

69 mi

Emergency Medicine

130 KATE IRELAND DR
Hyden, KY 41749

Reassigned Medicare billing, Kentucky enrollment
45 clinicians in this Medicare group

NPI 1497036776 (877) 693-5700

Pine Mountain Emergency Group Limited Liability Company

82 mi

Emergency Medicine

81 BALL PARK RD
Harlan, KY 40831

Reassigned Medicare billing, Kentucky enrollment
35 clinicians in this Medicare group

NPI 1568010064 (606) 573-8100

Emergency Medicine Physicians Of Estill County,pllc

92 mi

Emergency Medicine

60 MERCY CT
Irvine, KY 40336

Reassigned Medicare billing, Kentucky enrollment
54 clinicians in this Medicare group

NPI 1407235666 (330) 493-4443

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 17

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

344 services240 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.

314 services204 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

142 services142 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

140 services140 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

134 services134 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

126 services126 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.

110 services50 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.

45 services45 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

30 services30 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

27 services26 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

25 services25 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

21 services21 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

21 services17 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

19 services19 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

16 services16 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

16 services16 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number180087

Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County

Emergency services

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY

3/5 CMS rating

OwnershipProprietary

CMS Certification Number180092

Location175 Hospital DriveWinchester, KY 40391 · Clark County

Emergency services Birthing friendly

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY

OwnershipProprietary

CMS Certification Number180101

Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41503 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

89.05

Referred Medical Equipment & Supplies CMS DME claims 7

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

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers12 claims21 services$2.99 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers41 claims41 services$18.28 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers12 claims12 services$910.49 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers11 claims12 services$7.49 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers56 claims56 services$95.14 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

8 suppliers26 claims2,550 services$0.09 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.

PRIMARY CARE ASSOCIATES OF WILLIAMSON

Family Medicine

306 HOSPITAL DR, SUITE 105
SOUTH WILLIAMSON, KY 41503

Pike County (606) 237-0053

DR. CHADWICK J KNIGHT MD

Surgery