BABAR HUSSAIN M.D
NPI 1336377613
Hospitalist in Fredericksburg, VA

Q: What is Babar Hussain's NPI number?

The NPI number for Babar Hussain is 1336377613. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Q: What is Babar Hussain's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Babar Hussain was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 25, 2009PECOS EnrolledAccepts Medicare Assignment

1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401(540) 741-1100 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Babar Hussain M.d NPPES

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

BABAR HUSSAIN M.D (NPI 1336377613) is an individual hospitalist provider in Fredericksburg, Virginia, licensed in Virginia (0101254315) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1336377613

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameBABAR HUSSAINCredential: M.D

Location Address1001 SAM PERRY BLVDFredericksburg, VA 22401-4453

Mailing Address1001 Sam Perry BlvdFredericksburg, VA 22401-4453 · (540) 741-1100

Phone(540) 741-1100

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateJune 25, 2009

Last NPPES UpdateApril 15, 2020

NPPES CertifiedApril 15, 2020

✔ NPI 1336377613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in VA · 0101254315

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

1001 SAM PERRY BLVD, Fredericksburg, VA 22401

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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

Babar 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 ID5799928529

PECOS Enrollment IDI20130827000541

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 3

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.

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.

983 services930 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.

39 services39 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.

16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490020

Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County

Emergency services

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490021

Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County

Emergency services Birthing friendly

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490022

Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County

Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number490112

Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County

Emergency services

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490140

Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%708 patients5/55-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.

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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.

JUSTIN HAMWAY RACKLEY MD

Anesthesiology