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LEGACY PRIMARY CARE
NPI 1528368479
Internal Medicine in Houston, TX

Active since October 26, 2010CLIA 45D2023468 · Waiver
616 CYPRESS CREEK PKWY STE 300, HOUSTON, TX 77090(281) 364-8787(713) 636-9088 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 5, 2024, Feb 11, 2023, Oct 8, 2022 (3 updates tracked since 2022).

About Legacy Primary Care NPPES

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

LEGACY PRIMARY CARE (NPI 1528368479) is a healthcare organization registered as an internal medicine in Houston, Texas and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Hussamaddin Al Khadour, President, as its authorized official.

NPPES Registry Identity

NPI1528368479
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHUSSAMADDIN AL-KHADOUR MD PA
Location Address616 CYPRESS CREEK PKWY STE 300Houston, TX 77090-3025
Mailing Address616 Cypress Creek Pkwy Ste 300Houston, TX 77090-3025 · (281) 364-8787 · Fax (713) 636-9088
Phone(281) 364-8787
Fax(713) 636-9088
Organization SubpartNo
Authorized OfficialHussamaddin Al KhadourPresident · (281) 364-8787
Enumeration DateOctober 26, 2010
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1528368479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · L1257
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License L1257 (TX)
616 CYPRESS CREEK PKWY STE 300, Houston, TX 77090
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Other Names 1

Doing Business AsLegacy Primary Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2023468

Hussamaddin Al-Khadour, MD PA · Houston, TX
Active · expires Apr 24, 2027
CLIA Number45D2023468
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorHussamaddin Al-Khadour
Laboratory Phone(281) 364-8787
Laboratory LocationHussamaddin Al-Khadour, MD PA616 Cypress Creek Pkwy Suite 300, Houston, TX 77090
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hussamaddin Al-Khadour MD PA's NPI number?

The NPI number for Hussamaddin Al-Khadour MD PA is 1528368479. It was assigned to this organization in the NPPES registry on October 26, 2010. The provider is doing business as Legacy Primary Care.

Where is Hussamaddin Al-Khadour MD PA located?

Hussamaddin Al-Khadour MD PA is located at 616 Cypress Creek Pkwy Ste 300, Houston, TX 77090. The listed phone number is (281) 364-8787.

What is Hussamaddin Al-Khadour MD PA's specialty?

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

Does Hussamaddin Al-Khadour MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2023468) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hussamaddin Al-Khadour MD PA accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Hussamaddin Al-Khadour MD PA 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.

When was this NPI record last updated?

The NPPES record for Hussamaddin Al-Khadour MD PA was last updated on September 5, 2024. 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.