YUSAF MUHAMMAD HUSSAIN DO
NPI 1538714456
Allergy & Immunology in Janesville, WI

NPI Status: Active since August 07, 2019

Contact Information

1000 MINERAL POINT AVE
JANESVILLE, WI
ZIP 53548
Phone: (608) 756-6000
Fax: (608) 756-6289

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  • Individual
  • Male
  • Years of Experience 8
  • Allergy & Immunology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About YUSAF HUSSAIN

This page provides the complete NPI Profile along with additional information for Yusaf Hussain, a provider established in Janesville, Wisconsin with a medical specialization in Allergy & Immunology and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1538714456 assigned on August 2019. The practitioner's primary taxonomy code is 207K00000X with license number 81667-21 (WI). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1538714456
Provider Name
YUSAF MUHAMMAD HUSSAIN DO
Gender
Male
Entity Type
Individual
Location Address
1000 MINERAL POINT AVE JANESVILLE, WI 53548
Location Phone
(608) 756-6000
Location Fax
(608) 756-6289
Mailing Address
1694 W GRANDVIEW BLVD ERIE, PA 16509
Mailing Phone
(302) 279-0290
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
08-07-2019
Last Update Date
04-24-2025
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Location Map

Secondary Locations

  • 5515 Peach St
    Erie, PA 16509
    (814) 868-8217
  • 2825 Prairie Ave
    Beloit, WI 53511
    (608) 363-5500
  • N2950 State Road 67
    Lake Geneva, WI 53147
    (608) 314-2301

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Allergy & Immunology

Taxonomy Code
207K00000X
Type
Allopathic & Osteopathic Physicians
License No.
81667-21
License State
WI
Taxonomy Description
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

OT019671 (PA)
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

OS19039 (FL)
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

81667-21 (WI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • MercyCare Bronze 10,000 (1 Free PCP Visit) - HMO
  • MercyCare Bronze Standard Expanded - HMO
  • MercyCare Gold Standard - HMO
  • MercyCare Silver 2,500 (3 Free PCP Visits) - HMO
  • MercyCare Silver Health Savings - HMO
  • MercyCare Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
OT019671MEDICAID (05)PA 

Medicare Participation & PECOS Enrollment Status

Yusaf Hussain is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Yusaf Hussain is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1850775081

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240924003118

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Yusaf Hussain is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MERCY WALWORTH HOSPITAL & MEDICAL CENTERN2950 STATE ROAD 67
LAKE GENEVA, WI 53147
(262) 245-0535Critical Access Hospitals

Reviews for YUSAF MUHAMMAD HUSSAIN DO

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538714456, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 1 + 4 + 1 + 8 + 4 + 1 + 0 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1538714456.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

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Pharmacist (Pharmacotherapy)
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Emergency Medicine
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Internal Medicine (Cardiovascular Disease)
1000 MINERAL POINT AVE
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Neurological Surgery
1000 MINERAL POINT AVE, MERCY WEST NEUROSURGERY
JANESVILLE, WI 53548
Internal Medicine (Critical Care Medicine)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Nurse Practitioner
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Anesthesiology
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Nurse Practitioner
1000 MINERAL POINT AVE
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Psychiatry & Neurology (Psychiatry)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Dietitian, Registered
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Dietitian, Registered
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Radiology (Diagnostic Radiology)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Hospitalist
1000 MINERAL POINT AVE, DEAN MEDICAL CENTER
JANESVILLE, WI 53548
Pathology (Anatomic Pathology & Clinical Pathology)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Physician Assistant (Medical)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Internal Medicine (Cardiovascular Disease)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Internal Medicine (Infectious Disease)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Physician Assistant (Medical)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Obstetrics & Gynecology
1000 MINERAL POINT AVE
JANESVILLE, WI 53548

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538714456, enumerated as an "individual" on August 07, 2019.

The provider is located at 1000 MINERAL POINT AVE JANESVILLE, WI 53548 and the phone number is (608) 756-6000.

Allergy & Immunology with taxonomy code 207K00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, MercyCare. Please consult your insurance carrier or call the provider to verify.

Yusaf Hussain is affiliated with: MERCY WALWORTH HOSPITAL & MEDICAL CENTER.