HAFIZ GHULAM HUSSAIN M.D.
NPI 1467770925
Internal Medicine - Interventional Cardiology in Sanford, FL

Active since May 08, 2010PECOS EnrolledAccepts Medicare Assignment
1403 MEDICAL PLAZA DR STE 200, SANFORD, FL 32771(321) 363-9335(689) 264-7679 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2026, Feb 7, 2025, Jun 26, 2024 and 2 more (5 updates tracked since 2016).

About Hafiz Ghulam Hussain M.d. NPPES

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

HAFIZ GHULAM HUSSAIN M.D. (NPI 1467770925) is an individual interventional cardiology provider in Sanford, Florida, licensed in Florida (ME152688) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Central Florida Lake Monroe Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1467770925
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameHAFIZ GHULAM HUSSAINCredential: M.D.
Location Address1403 MEDICAL PLAZA DR STE 200Sanford, FL 32771-1000
Mailing Address305 N. Mangoustine Avenue, Suite 200Sanford, FL 32771 · (321) 363-9335 · Fax (321) 219-9930
Fax(689) 264-7679
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 8, 2010
Last NPPES UpdateApril 30, 20265 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
NPI 1467770925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in FL · ME152688
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
1403 MEDICAL PLAZA DR STE 200, Sanford, FL 32771

Accepted 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

Hafiz Ghulam 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 ID4981983210
PECOS Enrollment IDI20220308001758
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 15

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.
563 services238 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.
210 services192 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.
193 services114 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.
151 services114 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
56 services53 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
44 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Central Florida Lake Monroe Hospital

Acute Care Hospitals · Sanford, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100161
Location1401 W Seminole BlvdSanford, FL 32771 · Seminole County
Emergency services

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100231
Location8383 N Davis HwyPensacola, FL 32514 · Escambia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32771 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

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 Hafiz Hussain's NPI number?

The NPI number for Hafiz Hussain is 1467770925. It was assigned to this individual provider in the NPPES registry on May 8, 2010.

Where is Hafiz Hussain located?

Hafiz Hussain practices at 1403 Medical Plaza Dr Ste 200, Sanford, FL 32771. The listed phone number is (321) 363-9335.

What is Hafiz Hussain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Hafiz Hussain enrolled in Medicare?

Yes. Hafiz 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 Hafiz Hussain accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Hafiz 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 Hafiz Hussain affiliated with any hospitals?

According to CMS data, Hafiz Hussain is affiliated with Central Florida Lake Monroe Hospital and Hca Florida West Hospital.

When was this NPI record last updated?

The NPPES record for Hafiz Hussain was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.