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MAWADA ISSAM HAFEZ HUSSEIN MD
NPI 1790359453
Pediatrics in Worcester, MA

Active since May 18, 2021PECOS Enrolled
291 LINCOLN ST, WORCESTER, MA 01605(508) 752-7888(508) 753-6536 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, Jun 13, 2024, May 18, 2021 (3 updates tracked since 2021).

About Mawada Issam Hafez Hussein Md NPPES

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

MAWADA ISSAM HAFEZ HUSSEIN MD (NPI 1790359453) is an individual pediatrics provider in Worcester, Massachusetts, licensed in Massachusetts (1017785) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790359453
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMAWADA ISSAM HAFEZ HUSSEINCredential: MD
Location Address291 LINCOLN STWorcester, MA 01605-3643
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 752-7888
Fax(508) 753-6536
Sole ProprietorNo
Enumeration DateMay 18, 2021
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1790359453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 1017785
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
291 LINCOLN ST, Worcester, MA 01605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mawada Issam Hafez Hussein Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Mawada Hussein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umass Memorial Medical Group Inc
1.8 mi
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1760445373 (508) 334-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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. MARY R HAWTHORNE M.D.
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 791-8524
DR. JAMES E FANALE M.D.
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-6251
SEVIL HEMAYAT M.D
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 791-8524
MARIAN SABA MD
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 791-8524
MS. TRACY M. CORMIER NP
Nurse Practitioner
291 LINCOLN ST, EMPLOYEE HEALTH
WORCESTER, MA 01605
Worcester County (508) 793-6400
DR. HAWA OZIEN ABU MD
Internal Medicine (Geriatric Medicine)
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-6251
DOUGLAS MISAEL PALACIOS HERNANDEZ
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 799-2922
HAHNEMANN UROLOGY ASSOCIATES, INC.
Urology
291 LINCOLN ST, SUITE 201
WORCESTER, MA 01605
Worcester County (508) 755-8663

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 Mawada Hussein's NPI number?

The NPI number for Mawada Hussein is 1790359453. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Mawada Hussein located?

Mawada Hussein practices at 291 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 752-7888.

What is Mawada Hussein's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mawada Hussein enrolled in Medicare?

Yes. Mawada Hussein is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mawada Hussein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mawada Hussein reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). The 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 Mawada Hussein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mawada Hussein accept?

Health plans from Taro Health list Mawada 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.

When was this NPI record last updated?

The NPPES record for Mawada Hussein was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.