NAJIA HUSSAIN
NPI 1609220854
Internal Medicine - Endocrinology, Diabetes & Metabolism in Southampton, NY

Active since April 13, 2016PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968(631) 726-8200 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2023, Dec 1, 2021, Jul 13, 2021 (3 updates tracked since 2021).

About Najia Hussain NPPES

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

NAJIA HUSSAIN (NPI 1609220854) is an individual endocrinology, diabetes & metabolism provider in Southampton, New York, licensed in New York (299905) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609220854
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameNAJIA HUSSAIN
Location Address240 MEETING HOUSE LNSouthampton, NY 11968-5009
Mailing Address240 Meeting House LnSouthampton, NY 11968-5009
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2016
Enumeration DateApril 13, 2016
Last NPPES UpdateMarch 23, 20233 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
NPI 1609220854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NY · 299905
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
240 MEETING HOUSE LN, Southampton, NY 11968

Secondary Practice Locations 2

Location 1580 Sunrise HwyWest Babylon, NY 11704-6000 · Phone (631) 422-9355
Location 2180 E Pulaski RdHuntington Station, NY 11746-1915 · Phone (631) 425-3800

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

Najia Hussain 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 ID547663056
PECOS Enrollment IDI20210721002532
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 8

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,861 services26 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.
309 services245 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
39 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
34 services27 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
33 services26 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11968 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers11 claims54 services$5.86 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers79 claims79 services$185.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Emergency Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Dietitian, Registered
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Student in an Organized Health Care Education/Training Program
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Physician Assistant (Medical)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Family Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Pathology (Hematology)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968

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 Najia Hussain's NPI number?

The NPI number for Najia Hussain is 1609220854. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Najia Hussain located?

Najia Hussain practices at 240 Meeting House Ln, Southampton, NY 11968. The listed phone number is (631) 726-8200.

What is Najia Hussain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Najia Hussain enrolled in Medicare?

Yes. Najia 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.

Is Najia Hussain affiliated with any hospitals?

According to CMS data, Najia Hussain is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Najia Hussain was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.