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AMMR AL-HOUSSAN MBBCH
NPI 1700440468
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since April 29, 2019PECOS Enrolled
263 FARMINGTON AVENUE, OP S7235, FARMINGTON, CT 06030(860) 679-3467(860) 679-1110 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2019, Apr 29, 2019 (2 updates tracked since 2019).

About Ammr Al-houssan Mbbch NPPES

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

AMMR AL-HOUSSAN MBBCH (NPI 1700440468) is an individual student in an organized health care education/training program in Farmington, Connecticut and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700440468
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAMMR AL-HOUSSANCredential: MBBCH
Location Address263 FARMINGTON AVENUE, OP S7235Farmington, CT 06030-8073
Mailing Address263 Farmington Ave, Lm068Farmington, CT 06030-1921 · (860) 679-4763 · Fax (860) 679-4624
Phone(860) 679-3467
Fax(860) 679-1110
Sole ProprietorNo
Enumeration DateApril 29, 2019
Last NPPES UpdateJuly 29, 20192 updates tracked since enumeration
✔ NPI 1700440468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
263 FARMINGTON AVENUE, Farmington, CT 06030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ammr Al-houssan Mbbch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MAROUN SFEIR
Pathology (Anatomic Pathology)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2980
LISA PETRICCA PA-C
Physician Assistant (Medical)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2100
SHASHANK NAGARAJ PATIL MD
Neurological Surgery
263 FARMINGTON AVENUE, UCONN HEALTH, DEPARTMENT OF SURGERY
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4617
DR. RICHARD KENT WAGNER MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3387
DR. MICHAEL CHRISTOPHER SOBIERAJ MD, PHD
Orthopaedic Surgery
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6600
DR. ANA ALEYDA MORALES MD
Ophthalmology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3540
DR. AKUA POKUAH SARFO MD/PHD
Dermatology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4600
JENNIFER MARIE GARDNER APRN
Nurse Practitioner (Family)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2100

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 Ammr Al-houssan's NPI number?

The NPI number for Ammr Al-houssan is 1700440468. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Ammr Al-houssan located?

Ammr Al-houssan practices at 263 Farmington Avenue Op S7235, Farmington, CT 06030. The listed phone number is (860) 679-3467.

What is Ammr Al-houssan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ammr Al-houssan enrolled in Medicare?

Yes. Ammr Al-houssan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ammr Al-houssan was last updated on July 29, 2019. 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.