DR. RAZA HUSSAIN M.D.
NPI 1891960431
Family Medicine - Addiction Medicine in Decatur, IL

Active since April 24, 2008PECOS EnrolledAccepts Medicare Assignment
151 N MAIN ST, DECATUR, IL 62523(217) 362-6262 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2018, Sep 5, 2018 (2 updates tracked since 2018).

About Dr. Raza Hussain M.d. NPPES

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

DR. RAZA HUSSAIN M.D. (NPI 1891960431) is an individual addiction medicine provider in Decatur, Illinois, licensed in Kentucky (51852) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1891960431
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameDR. RAZA HUSSAINCredential: M.D.
Location Address151 N MAIN STDecatur, IL 62523-1206
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 757-0717
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 24, 2008
Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
NPI 1891960431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License Licensed in KY · 51852
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License E-7091 (AR)
151 N MAIN ST, Decatur, IL 62523

Secondary Practice Locations 2

Location 1601 W Maple Ave Ste 407Springdale, AR 72764 · Phone (479) 757-5282
Location 2351 Centre View BlvdCrestview Hills, KY 41017 · Phone (859) 301-5901 · Fax (859) 301-5940

Accepted 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

Dr. Raza 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 ID941488217
PECOS Enrollment IDI20250318001350
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62523 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Licensed Practical Nurse
151 N MAIN ST
DECATUR, IL 62523
Nurse Practitioner (Family)
151 N MAIN ST
DECATUR, IL 62523
Social Worker
151 N MAIN ST
DECATUR, IL 62523
Licensed Practical Nurse
151 N MAIN ST
DECATUR, IL 62523
Clinic/Center (Primary Care)
151 N MAIN ST
DECATUR, IL 62523
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523

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 Raza Hussain's NPI number?

The NPI number for Raza Hussain is 1891960431. It was assigned to this individual provider in the NPPES registry on April 24, 2008.

Where is Raza Hussain located?

Raza Hussain practices at 151 N Main St, Decatur, IL 62523. The listed phone number is (217) 362-6262.

What is Raza Hussain's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Raza Hussain enrolled in Medicare?

Yes. Raza 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 Raza Hussain accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 4 other insurers list Raza 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.

When was this NPI record last updated?

The NPPES record for Raza Hussain was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.