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KHANDAKAR HUSSAIN M.D.
NPI 1639550064
Internal Medicine in Johnstown, PA

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment
1086 FRANKLIN ST, JOHNSTOWN, PA 15905(814) 534-9104(814) 534-3559 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Khandakar Hussain M.d. NPPES

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

KHANDAKAR HUSSAIN M.D. (NPI 1639550064) is an individual internal medicine provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD464238) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1639550064
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKHANDAKAR HUSSAINCredential: M.D.
Location Address1086 FRANKLIN STJohnstown, PA 15905-4305
Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 534-9104 · Fax (814) 534-3559
Phone(814) 534-9104
Fax(814) 534-3559
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 11, 2015
Last NPPES UpdateOctober 18, 2018
✔ NPI 1639550064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD464238✔ Licensed in PA · MT208870
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.
1086 FRANKLIN ST, Johnstown, PA 15905
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Khandakar 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 ID4486969102
PECOS Enrollment IDI20180226000671
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 6

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
529 services121 patients
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.
440 services122 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.
84 services82 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.
45 services35 patients
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.
35 services22 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$17.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$89.46 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.

MEMORIAL MEDICAL CENTER
General Acute Care Hospital (Children)
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9503
JOSEPH W HENSLEY DO
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-3745
NICOLE DOLHI DO
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-3745
BRADLEY STEPHEN WINEGARDNER
Surgery
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-1660
SAI HARSHA BOBBA MD
Family Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9364
AYESHA HAQ MD
Internal Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9408
CHRISTINA DAVIS PA-C
Physician Assistant (Medical)
1086 FRANKLIN ST, E3
JOHNSTOWN, PA 15905
Cambria County (814) 534-5592
MRS. JAMIE ELIZABETH OKOPAL RN, CRNA
Nurse Anesthetist, Certified Registered
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9321

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 Khandakar Hussain's NPI number?

The NPI number for Khandakar Hussain is 1639550064. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Khandakar Hussain located?

Khandakar Hussain practices at 1086 Franklin St, Johnstown, PA 15905. The listed phone number is (814) 534-9104.

What is Khandakar Hussain's specialty?

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

Is Khandakar Hussain enrolled in Medicare?

Yes. Khandakar 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 Khandakar Hussain accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Khandakar 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 Khandakar Hussain affiliated with any hospitals?

According to CMS data, Khandakar Hussain is affiliated with Conemaugh Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Khandakar Hussain was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.