DR. AHMED HUSSAIN MD
NPI 1407936974
Internal Medicine in New Lenox, IL

Q: What is Ahmed Hussain's NPI number?

The NPI number for Ahmed Hussain is 1407936974. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Ahmed Hussain's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ahmed Hussain was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 17, 2006PECOS EnrolledAccepts Medicare Assignment

1890 SILVER CROSS BLVD, STE 265, NEW LENOX, IL 60451(815) 741-3532(815) 741-3736 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2021, Jun 22, 2016 (2 updates tracked since 2016).

On this page

About Dr. Ahmed Hussain Md NPPES

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

DR. AHMED HUSSAIN MD (NPI 1407936974) is an individual internal medicine provider in New Lenox, Illinois, licensed in Illinois (036-079155) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Silver Cross Hospital And Medical Centers, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1407936974

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. AHMED HUSSAINCredential: MD

Location Address1890 SILVER CROSS BLVD, STE 265New Lenox, IL 60451-9623

Mailing Address1890 Silver Cross Blvd, Ste 265New Lenox, IL 60451-9623 · (815) 741-3532 · Fax (815) 741-3736

Phone(815) 741-3532

Fax(815) 741-3736

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateOctober 17, 2006

Last NPPES UpdateApril 15, 20212 updates tracked since enumeration

NPPES CertifiedApril 15, 2021

✔ NPI 1407936974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036-079155

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1890 SILVER CROSS BLVD, New Lenox, IL 60451

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Other Identifiers 1

Medicaid036079155IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. Ahmed 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 ID3577732544

PECOS Enrollment IDI20110808000784

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 23

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.

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.

891 services270 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.

291 services217 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

291 services271 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.

289 services101 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

235 services216 patients

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.

231 services161 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

220 services157 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.

216 services197 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.

186 services173 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

171 services171 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

168 services168 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

131 services131 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

128 services128 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

117 services85 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

83 services81 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.

64 services38 patients

Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 99235

This service involves a brief hospital stay for a moderate health issue. You'll be admitted and discharged on the same day, typically within 50 minutes. It's a quick, efficient way to receive necessary care and medical attention.

47 services45 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

40 services32 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

34 services33 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

30 services26 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

26 services24 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.

20 services18 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

18 services13 patients

Hospital Affiliations CMS Care Compare

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

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140213

Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60451 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers17 claims51 services$5.86 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers12 claims12 services$45.27 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers34 claims34 services$50.90 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 suppliers52 claims52 services$14.57 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

3 suppliers61 claims61 services$62.08 avg. paid by Medicare

Heavy duty wheelchair K0006

DME-Wheelchairs · category DD000N

2 suppliers15 claims15 services$32.25 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.

DR. JOHN DONGAS M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

1890 SILVER CROSS BLVD, PAVILION A SUITE 240
NEW LENOX, IL 60451

Will County (815) 740-1900

CORINNE NAWROCKI D.O.

Family Medicine

1890 SILVER CROSS BLVD, SUITE 570
NEW LENOX, IL 60451

Will County (815) 463-3700

DR. JOSE ANTONIO PENAHERRERA M.D.

Internal Medicine

1890 SILVER CROSS BLVD, SUITE 265
NEW LENOX, IL 60451

Will County (815) 727-4292

MS. ELIZABETH MARIE DIBELLA PA-C

Physician Assistant

1890 SILVER CROSS BLVD
NEW LENOX, IL 60451

Will County (815) 723-4387

JULIA GRACE BANIA WHNP-BC

Nurse Practitioner (Women's Health)

1890 SILVER CROSS BLVD, #210
NEW LENOX, IL 60451

Will County (815) 463-3000

ZAFER JAWICH MD SC

Clinic/Center (Primary Care)

1890 SILVER CROSS BLVD, STE 350
NEW LENOX, IL 60451

Will County (815) 717-8737

KAREN JEAN KROOSWYK ARNP-ANP-BC

Nurse Practitioner (Adult Health)

1890 SILVER CROSS BLVD, STE 350
NEW LENOX, IL 60451

Will County (815) 714-8737

PROGRESSIVE SURGICAL ASSOCIATES SC

Surgery

1890 SILVER CROSS BLVD, SUITE 410
NEW LENOX, IL 60451

Will County (815) 717-8730

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 Ahmed Hussain's NPI number?

The NPI number for Ahmed Hussain is 1407936974. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Ahmed Hussain located?

Ahmed Hussain practices at 1890 Silver Cross Blvd Ste 265, New Lenox, IL 60451. The listed phone number is (815) 741-3532.

What is Ahmed Hussain's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ahmed Hussain enrolled in Medicare?

Yes. Ahmed 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.

What insurance does Ahmed Hussain accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Ahmed 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 Ahmed Hussain affiliated with any hospitals?

According to CMS data, Ahmed Hussain is affiliated with Silver Cross Hospital And Medical Centers.

When was this NPI record last updated?

The NPPES record for Ahmed Hussain was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.