DR. HUSSEIN ABBAS MD, PHD
NPI 1609220532
Internal Medicine in Houston, TX

Q: What is Hussein Abbas's NPI number?

The NPI number for Hussein Abbas is 1609220532. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Q: What is Hussein Abbas'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 Hussein Abbas was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment

81.38/100

CMS Quality Rating

1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2024, Dec 9, 2021, Jun 12, 2020 (3 updates tracked since 2020).

On this page

About Dr. Hussein Abbas Md, Phd NPPES

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

DR. HUSSEIN ABBAS MD, PHD (NPI 1609220532) is an individual internal medicine provider in Houston, Texas, licensed in Texas (R8851) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609220532

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. HUSSEIN ABBASCredential: MD, PHD

Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4000

Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991

Phone(713) 792-6161

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 18, 2016

Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration

NPPES CertifiedDecember 9, 2021

✔ NPI 1609220532 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 · R8851

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1515 HOLCOMBE BLVD, Houston, TX 77030

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Other Identifiers 3

Medicaid395184001TX

Other8KL734TX · Bcbs

Other395184002TX · Medicaid Cshcn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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. Hussein Abbas Md, Phd 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 ID9537468905

PECOS Enrollment IDI20190207001476

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 4

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 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.

311 services53 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.

35 services33 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.

28 services27 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

81.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.25

Promoting Interoperability

100

Improvement Activities

Cost

49.97

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. MERRY CHEN MD

Psychiatry & Neurology (Neurology)

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

AMEENA BAGREE MALHOTRA M.D.

Internal Medicine (Nephrology)

1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030

Harris County (713) 792-6161

SOLANGE ERLYN COX MD

Surgery

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-2360

DR. BRYAN KEITH GUILLORY M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

JANUARY Y TSAI MD

Anesthesiology

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

DR. SUNYOUNG LEE MD

Internal Medicine (Medical Oncology)

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

MRS. RACHEL KRAMER FUTRELL PA-C

Physician Assistant

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

MEGAN J TANNER NP-C

Nurse Practitioner

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

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 Hussein Abbas's NPI number?

The NPI number for Hussein Abbas is 1609220532. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Hussein Abbas located?

Hussein Abbas practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Hussein Abbas's specialty?

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

Is Hussein Abbas enrolled in Medicare?

Yes. Hussein Abbas 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 Hussein Abbas accept?

Health plans from Blue Cross and Blue Shield of Texas list Hussein Abbas 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 Hussein Abbas was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.