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DR. MOHAMED GINAWI HUSSEIN M.B.B.S., M.D.
NPI 1770927253
Internal Medicine in Burleson, TX

Active since April 26, 2013PECOS EnrolledAccepts Medicare Assignment
11801 SOUTH FWY # I35W, BURLESON, TX 76028(832) 314-5541 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 9, 2016, Jun 21, 2016 (2 updates tracked since 2016).

About Dr. Mohamed Ginawi Hussein M.b.b.s., M.d. NPPES

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

DR. MOHAMED GINAWI HUSSEIN M.B.B.S., M.D. (NPI 1770927253) is an individual internal medicine provider in Burleson, Texas, licensed in Texas (R0589) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Kaufman, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1770927253
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MOHAMED GINAWI HUSSEINCredential: M.B.B.S., M.D.
Location Address11801 SOUTH FWY # I35WBurleson, TX 76028-7021
Mailing Address1301 Solana Blvd Ste 2200Westlake, TX 76262-1769 · (832) 314-5541
Phone(832) 314-5541
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 26, 2013
Last NPPES UpdateNovember 9, 20162 updates tracked since enumeration
✔ NPI 1770927253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · R0589
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.
11801 SOUTH FWY # I35W, Burleson, TX 76028
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mohamed Ginawi Hussein M.b.b.s., 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 ID446493159
PECOS Enrollment IDI20170110003068
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mohamed Hussein reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthtexas Provider Network
10 mi
Anesthesiology
1400 8TH AVE # C770
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
NPI 1295628709 (817) 922-1770
Cogent Healthcare Of Texas, PA
38 mi
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
NPI 1992722953 (214) 345-7585
Hospitalist Medicine Physicians Of Texas, PLLC
216 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.
556 services529 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
70 services68 patients

Hospital Affiliations CMS Care Compare 5

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

Texas Health Presbyterian Hospital Kaufman

Acute Care Hospitals · Kaufman, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450292
Location850 Ed HallKaufman, TX 75142 · Kaufman County
Emergency services

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450462
Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670044
Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County
Emergency services

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76028 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%303 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Mohamed Hussein's NPI number?

The NPI number for Mohamed Hussein is 1770927253. It was assigned to this individual provider in the NPPES registry on April 26, 2013.

Where is Mohamed Hussein located?

Mohamed Hussein practices at 11801 South Fwy # I35w, Burleson, TX 76028. The listed phone number is (832) 314-5541.

What is Mohamed Hussein's specialty?

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

Is Mohamed Hussein enrolled in Medicare?

Yes. Mohamed Hussein 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.

Which organizations bill Medicare for Mohamed Hussein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Hussein reassigns Medicare benefits to 3 organizations: Healthtexas Provider Network (Fort Worth, TX), Cogent Healthcare Of Texas, PA (Dallas, TX) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohamed Hussein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Hussein accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Molina Healthcare list Mohamed Hussein 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 Mohamed Hussein affiliated with any hospitals?

According to CMS data, Mohamed Hussein is affiliated with Texas Health Presbyterian Hospital Kaufman, Hunt Regional Medical Center, Texas Health Presbyterian Hospital Dallas, Texas Health Presbyterian Hospital Rockwall and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Mohamed Hussein was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.