HUSSEIN A ELKOUSY M.D.
NPI 1376531954
Orthopaedic Surgery - Sports Medicine in Houston, TX

Q: What is Hussein Elkousy's NPI number?

The NPI number for Hussein Elkousy is 1376531954. It was assigned to this individual provider in the NPPES registry on October 8, 2005.

Q: What is Hussein Elkousy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Hussein Elkousy was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 October 08, 2005PECOS EnrolledAccepts Medicare Assignment

81.24/100

CMS Quality Rating

7401 S. MAIN, HOUSTON, TX 77030(713) 799-2300(713) 794-3380 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2024, Oct 19, 2022 (2 updates tracked since 2022).

On this page

About Hussein A Elkousy M.d. NPPES

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

HUSSEIN A ELKOUSY M.D. (NPI 1376531954) is an individual sports medicine provider in Houston, Texas, licensed in Texas (L4919) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Duke University School Of Medicine (1995).

NPPES Registry Identity

NPI1376531954

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameHUSSEIN A ELKOUSYCredential: M.D.

Location Address7401 S. MAINHouston, TX 77030-4509

Mailing Address7401 S. MainHouston, TX 77030-4509 · (713) 799-2300 · Fax (713) 794-3380

Phone(713) 799-2300

Fax(713) 794-3380

Sole ProprietorYes

Medical School CMSDuke University School Of MedicineGraduated 1995

Enumeration DateOctober 8, 2005

Last NPPES UpdateApril 23, 20252 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1376531954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in TX · L4919

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License L4919 (TX)

7401 S. MAIN, Houston, TX 77030

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Other Identifiers 1

Medicaid152352401TX

Accepted Insurance

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

Hussein A Elkousy 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 ID2961690003

PECOS Enrollment IDI20101216000357

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 18

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.

398 services291 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

201 services148 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.

163 services150 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

159 services139 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

138 services105 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

124 services30 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

116 services86 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.

82 services82 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.

64 services64 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

52 services49 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

39 services38 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

34 services23 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

29 services28 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

20 services20 patients

Incision of shoulder tendon 23405

An incision of the shoulder tendon is a surgical procedure where a small cut is made to access the affected tendon. It's typically done to repair damage, such as a tear, and can help to alleviate pain and restore shoulder function. The procedure is performed under anesthesia.

14 services14 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

13 services13 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

11 services11 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450358

Location6565 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Texas Orthopedic Hospital

Acute Care Hospitals · Houston, TX

OwnershipVoluntary non-profit - Other

CMS Certification Number450804

Location7401 South Main StreetHouston, TX 77030 · Harris County

Emergency services

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450820

Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

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.

81.24/100

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

Individually scored

Quality

65.89

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

64%740 patients3/55-star benchmark: 100%

Breast Cancer Screening

58%568 patients3/55-star benchmark: 93%

Cervical Cancer Screening

43%552 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

54%356 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

47%1,313 patients3/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

94%3,148 patients4/55-star benchmark: 100%

e-Prescribing

100%945 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

86%708 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 73% · 1,528 patients

Patients screened: 78% · 1,528 patients

7%72 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

91%1,441 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

49%392 patients3/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84%55 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 763 patients

Patients totalRate: 12% · 763 patients

12%763 patients3/55-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.

JULIETTE A. ZUMWALT P.A.

Physician Assistant

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

KAREN ANN GUNTER P.A.

Physician Assistant (Surgical)

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

BABAK SHERKAT R.N.

Registered Nurse

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

ALISHA SMITH PTA

Physical Therapist

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

BRANDON THOMPSON LSA

Specialist/Technologist, Other (Surgical Assistant)

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

MRS. CHRISTINA KARIAN DONAHUE PA-C

Physician Assistant (Surgical)

7401 S. MAIN, FONDREN ORTHOPEDIC GROUP LLP
HOUSTON, TX 77030

Harris County (281) 799-2300

DARREN DOWNING GORE PA

Physician Assistant (Surgical)

7401 S. MAIN, FONDREN ORTHOPEDIC GROUP L.L.P.
HOUSTON, TX 77030

Harris County (713) 799-2300

YOMNA T MONLA M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

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 Hussein Elkousy's NPI number?

The NPI number for Hussein Elkousy is 1376531954. It was assigned to this individual provider in the NPPES registry on October 8, 2005.

Where is Hussein Elkousy located?

Hussein Elkousy practices at 7401 S. Main, Houston, TX 77030. The listed phone number is (713) 799-2300.

What is Hussein Elkousy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Hussein Elkousy enrolled in Medicare?

Yes. Hussein Elkousy 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 Hussein Elkousy 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 5 other insurers list Hussein Elkousy 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 Hussein Elkousy affiliated with any hospitals?

According to CMS data, Hussein Elkousy is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Houston Methodist Hospital, Texas Orthopedic Hospital and Houston Methodist Sugarland Hospital.

When was this NPI record last updated?

The NPPES record for Hussein Elkousy was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.