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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GHAZI HUSSAIN M.D
NPI 1972815306
Hospitalist in Woonsocket, RI

Active since July 14, 2010PECOS Enrolled
115 CASS AVE, WOONSOCKET, RI 02895(401) 769-4100 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2026, Apr 22, 2020, Nov 15, 2016 (3 updates tracked since 2016).

About Ghazi Hussain M.d NPPES

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

GHAZI HUSSAIN M.D (NPI 1972815306) is an individual hospitalist provider in Woonsocket, Rhode Island, licensed in Massachusetts (261395) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains a secondary practice location in Fall River.

NPPES Registry Identity

NPI1972815306
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameGHAZI HUSSAINCredential: M.D
Location Address115 CASS AVEWoonsocket, RI 02895-4705
Mailing Address25 Capwell AvePawtucket, RI 02860-5623 · (401) 588-4215
Phone(401) 769-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 14, 2010
Last NPPES UpdateSeptember 18, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1972815306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MA · 261395
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD14298 (RI)
115 CASS AVE, Woonsocket, RI 02895
Open in Google Maps ↗

Secondary Practice Location 1

Location 1363 Highland AveFall River, MA 02720-3703 · Phone (508) 973-5919 · Fax (508) 973-5916

Other Identifiers 1

Medicaid110114450AMA

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)

Ghazi Hussain M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062654650
PECOS Enrollment IDI20130812000071, I20160722002183
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

8

Medicare enrollment records show Ghazi Hussain reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prime Healthcare Services Landmark LLC
Same address
Hematology & Oncology
219 CASS AVE
Woonsocket, RI 02895
  • Reassigned Medicare billing, Rhode Island enrollment
  • 119 clinicians in this Medicare group
NPI 1518388651 (401) 769-4100
Core Clinicals LLC
4.9 mi
Internal Medicine
6 BLACKSTONE VALLEY PLACE, BLDG 3, SUITE 306B
Lincoln, RI 02865
  • Reassigned Medicare billing, Rhode Island enrollment
  • 36 clinicians in this Medicare group
NPI 1235704917 (401) 334-1044
Prime Care LLC
11 mi
Internal Medicine
25 CAPWELL AVE
Pawtucket, RI 02860
  • Reassigned Medicare billing, Rhode Island enrollment
  • 2 clinicians in this Medicare group
NPI 1720894942 (401) 588-4215
Eleanor Slater Hospital
19 mi
Long Term Care Hospital
111 HOWARD AVE
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • Medicare enrollment name: State Of Rhode Island
  • 16 clinicians in this Medicare group
NPI 1922197789 (401) 462-1405
Sound Physicians Of Massachusetts, Inc
23 mi
Internal Medicine
150 YORK ST
Stoughton, MA 02072
  • Reassigned Medicare billing, Massachusetts enrollment
  • 337 clinicians in this Medicare group
NPI 1245784446 (781) 344-0600
Sound Physicians Of Massachusetts II PC
23 mi
Internal Medicine
235 N PEARL ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 173 clinicians in this Medicare group
NPI 1306376397 (615) 377-5658
Steward Medical Group, Inc
29 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474
Southcoast Physicians Group, Inc.
40 mi
Emergency Medicine
208 MILL RD
Fairhaven, MA 02719
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,144 clinicians in this Medicare group
NPI 1861830143 (855) 319-0518

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 5

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.
101 services98 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
99 services97 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services26 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Newport Hospital

Acute Care Hospitals · Newport, RI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410006
Location11 Friendship StreetNewport, RI 02840 · Newport County
Emergency services Birthing friendly

Landmark Medical Center

Acute Care Hospitals · Woonsocket, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410011
Location115 Cass AvenueWoonsocket, RI 02895 · Providence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02895 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

CHARLES J KIM MD
Anesthesiology
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
DR. PRISCILLA EMILY LAM M.D.
Surgery
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 407-5866
LANA ADEL TANNOUS MD
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
BLACKSTONE MEDICAL CENTER, INC.
Internal Medicine
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
DR. OMAR ALKASABRAH MD
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
LANDMARK MEDICAL CENTER
Internal Medicine (Cardiovascular Disease)
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
WAJAHAT FAHEEM MD
Psychiatry & Neurology (Psychiatry)
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
DR. DAREN D GIRARD MD
Emergency Medicine
115 CASS AVE, EMERGENCY MEDICINE
WOONSOCKET, RI 02895
Providence County (401) 769-4100

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 Ghazi Hussain's NPI number?

The NPI number for Ghazi Hussain is 1972815306. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Where is Ghazi Hussain located?

Ghazi Hussain practices at 115 Cass Ave, Woonsocket, RI 02895. The listed phone number is (401) 769-4100.

What is Ghazi Hussain's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ghazi Hussain enrolled in Medicare?

Yes. Ghazi Hussain is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ghazi Hussain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ghazi Hussain reassigns Medicare benefits to 8 organizations: Prime Healthcare Services Landmark LLC (Woonsocket, RI), Core Clinicals LLC (Lincoln, RI), Prime Care LLC (Pawtucket, RI), Eleanor Slater Hospital (Cranston, RI), Sound Physicians Of Massachusetts, Inc (Stoughton, MA) and 3 more organizations, listed in the Medicare section above. 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 Ghazi Hussain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ghazi Hussain accept?

Health plans from Taro Health list Ghazi 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.

Is Ghazi Hussain affiliated with any hospitals?

According to CMS data, Ghazi Hussain is affiliated with Southcoast Hospitals Group, Newport Hospital and Landmark Medical Center.

When was this NPI record last updated?

The NPPES record for Ghazi Hussain was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.