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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Babar Hussain reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mary Washington Healthcare Providers LLC
Same address
Hospitalist
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 323 clinicians in this Medicare group
NPI 1750826277 (540) 741-1821
Hospitalist Medicine Physicians Of Fredericksburg, LLC
Same address
Internal Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 258 clinicians in this Medicare group
NPI 1447577572 (330) 493-4443
Hospitalist Medicine Physicians Of Virginia LLC
72 mi
Internal Medicine
1840 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 371 clinicians in this Medicare group
NPI 1770756991 (540) 536-4334
Riverside Physician Services Inc
80 mi
Pulmonary Disease
7544 HOSPITAL DR STE 202
Gloucester, VA 23061
  • Reassigned Medicare billing, Virginia enrollment
  • 1,097 clinicians in this Medicare group
NPI 1790049252 (804) 694-5553
Southeastern Intensivist Services PC
737 mi
Hospitalist
2100 N 7TH ST
West Memphis, AR 72301
  • Reassigned Medicare billing, Virginia enrollment
  • 528 clinicians in this Medicare group
NPI 1912942665 (870) 733-3020

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 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.

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
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
MELYSSA CARROLL MOONEY CRNA
Nurse Anesthetist, Certified Registered
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
JENNIFER LYNN BRIDY CRNA
Nurse Anesthetist, Certified Registered
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
DR. THOMAS EDWARD BORSARI MD
Anesthesiology
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
MARY WASHINGTON HOSPITAL, INC.
Internal Medicine (Cardiovascular Disease)
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-1041
NARINDER NITIN SETHI MD, MS
Radiology (Diagnostic Radiology)
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 361-1000
AMANDA LYNN RAE CRNA
Nurse Anesthetist, Certified Registered
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
DAVID SCOTT M.D.
Radiology (Diagnostic Radiology)
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-1571

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 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.

Where is Babar Hussain located?

Babar Hussain practices at 1001 Sam Perry Blvd, Fredericksburg, VA 22401. The listed phone number is (540) 741-1100.

What is Babar Hussain's specialty?

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

Is Babar Hussain enrolled in Medicare?

Yes. Babar 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 organizations bill Medicare for Babar Hussain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Babar Hussain reassigns Medicare benefits to 5 organizations: Mary Washington Healthcare Providers LLC (Fredericksburg, VA), Hospitalist Medicine Physicians Of Fredericksburg, LLC (Fredericksburg, VA), Hospitalist Medicine Physicians Of Virginia LLC (Winchester, VA), Riverside Physician Services Inc (Gloucester, VA) and Southeastern Intensivist Services PC (West Memphis, AR). Each 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 Babar Hussain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Babar Hussain affiliated with any hospitals?

According to CMS data, Babar Hussain is affiliated with John Randolph Medical Center, Centra Health - Lynchburg Gen Hospital, Mary Washington Hospital, Cjw Medical Center and Stafford Hospital, LLC.

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.