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MALEK HUSSEIN MD
NPI 1427363316
Family Medicine in Wesley Chapel, FL

Active since August 16, 2010PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2253 GREEN HEDGES WAY, WESLEY CHAPEL, FL 33544(813) 771-6851(813) 771-6875 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 13, 2023, Feb 17, 2023, Jan 17, 2022 (3 updates tracked since 2022).

About Malek Hussein Md NPPES

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

MALEK HUSSEIN MD (NPI 1427363316) is an individual family medicine provider in Wesley Chapel, Florida, licensed in Florida (ME129091) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital Crystal River, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1427363316
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMALEK HUSSEINCredential: MD
Location Address2253 GREEN HEDGES WAYWesley Chapel, FL 33544-6969
Mailing Address2253 Green Hedges WayWesley Chapel, FL 33544-6969 · (813) 771-6851 · Fax (813) 771-6875
Phone(813) 771-6851
Fax(813) 771-6875
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 16, 2010
Last NPPES UpdateDecember 13, 20233 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
✔ NPI 1427363316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME129091
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License ME129091 (FL)
2253 GREEN HEDGES WAY, Wesley Chapel, FL 33544
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Malek Hussein 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 ID5395962799
PECOS Enrollment IDI20160928002793
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 Malek Hussein reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tri Health Family Wellness Center LLC
Same address
Family Medicine
2253 GREEN HEDGES WAY
Wesley Chapel, FL 33544
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1114678588 (813) 771-6851
W4p LLC
20 mi
Emergency Medicine
10461 QUALITY DR
Spring Hill, FL 34609
  • Reassigned Medicare billing, Florida enrollment
  • 118 clinicians in this Medicare group
NPI 1689116618 (352) 688-8200
Paragon Emergency Services LLC
40 mi
Emergency Medicine
200 AVENUE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 1,065 clinicians in this Medicare group
NPI 1912101650 (863) 293-1121
Lake Wales Emergency Physicians, LLC
53 mi
Emergency Medicine
410 S 11TH ST
Lake Wales, FL 33853
  • Reassigned Medicare billing, Florida enrollment
  • 99 clinicians in this Medicare group
NPI 1033480405 (877) 693-5700
Paragon Contracting Services LLC
451 mi
Emergency Medicine
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Florida enrollment
  • 802 clinicians in this Medicare group
NPI 1225071459 (205) 939-7100

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 6

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.

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.
261 services245 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.
216 services197 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.
131 services127 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
119 services112 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.
36 services20 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.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Tampa General Hospital Crystal River

Acute Care Hospitals · Crystal River, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100249
Location6201 N Suncoast BlvdCrystal River, FL 34428 · Citrus County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33544 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRI HEALTH FAMILY WELLNESS CENTER LLC
Family Medicine
2253 GREEN HEDGES WAY
WESLEY CHAPEL, FL 33544
Pasco County (813) 771-6851

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 Malek Hussein's NPI number?

The NPI number for Malek Hussein is 1427363316. It was assigned to this individual provider in the NPPES registry on August 16, 2010.

Where is Malek Hussein located?

Malek Hussein practices at 2253 Green Hedges Way, Wesley Chapel, FL 33544. The listed phone number is (813) 771-6851.

What is Malek Hussein's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Malek Hussein enrolled in Medicare?

Yes. Malek Hussein 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 Malek Hussein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Malek Hussein reassigns Medicare benefits to 5 organizations: Tri Health Family Wellness Center LLC (Wesley Chapel, FL), W4p LLC (Spring Hill, FL), Paragon Emergency Services LLC (Winter Haven, FL), Lake Wales Emergency Physicians, LLC (Lake Wales, FL) and Paragon Contracting Services LLC (Birmingham, AL). 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 Malek Hussein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Malek Hussein accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Malek Hussein 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 Malek Hussein affiliated with any hospitals?

According to CMS data, Malek Hussein is affiliated with Tampa General Hospital Crystal River.

When was this NPI record last updated?

The NPPES record for Malek Hussein was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.