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DR. ASHFAQ SWAPAN HUSSAIN M.D.
NPI 1942212774
Internal Medicine - Nephrology in East Setauket, NY

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
4 TECHNOLOGY DRIVE, SUITE-130, EAST SETAUKET, NY 11733(631) 675-2555(631) 331-1932 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ashfaq Swapan Hussain M.d. NPPES

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

DR. ASHFAQ SWAPAN HUSSAIN M.D. (NPI 1942212774) is an individual nephrology provider in East Setauket, New York, licensed in New York (197431) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1942212774
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ASHFAQ SWAPAN HUSSAINCredential: M.D.
Location Address4 TECHNOLOGY DRIVE, SUITE-130East Setauket, NY 11733
Mailing Address18 Fieldhouse AveEast Setauket, NY 11733-1038 · (631) 456-4447 · Fax (561) 282-3233
Phone(631) 675-2555
Fax(631) 331-1932
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateAugust 12, 2006
Last NPPES UpdateApril 17, 2019
✔ NPI 1942212774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 197431
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4 TECHNOLOGY DRIVE, East Setauket, NY 11733
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Other Identifiers 9

Other1091809NY · United Healthcare
OtherPRV0004590NY · Montefiore
Other4752605008NY · Cigna
Medicaid01548172NY
Other390005378NY · Railroad Medicare
Other5497732NY · Aetna
Other7X4431NY · Empire Bcbs
Other82142NY · Vytra
OtherP4115302NY · Oxford

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. Ashfaq Swapan 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 ID8921008020
PECOS Enrollment IDI20070130000459
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 4

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.

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.
319 services137 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
123 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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…
100%93 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%38 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%97 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
1 supplier12 claims4,320 services$1.21 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers24 claims1,920 services$0.30 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers25 claims5,760 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims660 services$0.91 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers31 claims31 services$17.73 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers42 claims43 services$12.34 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVERHEAD SURGERY, PC
Clinic/Center
4 TECHNOLOGY DRIVE, SUITE 220
EAST SETAUKET, NY 11733
Suffolk County (631) 476-9296
ISLAND NEPHROLOGY PC
Internal Medicine (Nephrology)
4 TECHNOLOGY DRIVE, SUITE-130
EAST SETAUKET, NY 11733
Suffolk County (631) 479-3743
DR. LAURIE E. PANESAR M.D.
Pediatrics (Pediatric Cardiology)
4 TECHNOLOGY DRIVE, STONY BROOK CHILDRENS SERVICES
SETAUKET, NY 11733
Suffolk County (631) 444-4601
MRS. ZEENAT A HUSSAIN MD
Internal Medicine
4 TECHNOLOGY DRIVE, SUITE-130
EAST SETAUKET, NY 11733
Suffolk County (631) 479-3744
BELLE MEADE MEDICAL, PC
Surgery
4 TECHNOLOGY DRIVE, SUITE 220
EAST SETAUKET, NY 11733
Suffolk County (631) 476-9296

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 Ashfaq Hussain's NPI number?

The NPI number for Ashfaq Hussain is 1942212774. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Ashfaq Hussain located?

Ashfaq Hussain practices at 4 Technology Drive Suite-130, East Setauket, NY 11733. The listed phone number is (631) 675-2555.

What is Ashfaq Hussain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ashfaq Hussain enrolled in Medicare?

Yes. Ashfaq 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.

Is Ashfaq Hussain affiliated with any hospitals?

According to CMS data, Ashfaq Hussain is affiliated with John T Mather Memorial Hospital Of Port Jefferson and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Ashfaq Hussain was last updated on April 17, 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.