SHAHID HUSSAIN (MD) – Internal Medicine Physician, NPI 1154314722

SHAHID HUSSAIN (MD) is a healthcare provider. based in Dyer, Indiana. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 73510 (MN). The NPI Number for SHAHID HUSSAIN (MD) is 1154314722

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
SHAHID HUSSAIN (MD)
NPI
1154314722
Phone
(219) 864-2107
Address
PO BOX 1000
Enumeration Date
29 August 2005
Last Update Date
8 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635812273
Graduation Year
1979 (47 years ago)
PAC ID
9032248620
Group Practice PAC ID
0042123028
Professional Enrollment ID
I20230721002384
Address ID
MN553302723EL800XXNWXX400

Contacts

Secure Messaging
shussain65664@Direct.FranciscanAlliance.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

3,636 INTERNAL MEDICINE in MN

Provider Addresses for SHAHID HUSSAIN (MD)

  • PO BOX 1000

    DYER, IN 463110800

    Phone: (219) 864-2107

    Fax: (219) 864-2649

    Type: Mailing

  • 800 FREEPORT AVE NW STE 100

    ELK RIVER, MN 553302723

    Phone: (763) 581-5200

    Type: Mailing

  • Franciscan Health Hammond, 5454, Hohman Avenue, Old Downtown, Hammond, Lake County, Indiana, 46320, United States

    HAMMOND, IN 463201931

    Phone: (219) 933-2077

    Fax: (219) 864-2649

    Type: Location

  • PO BOX 781076

    DETROIT, MI 482781076

    Phone:

    Fax: (219) 864-2649

    Type: Mailing

  • 7905 CALUMET AVE

    MUNSTER, IN 463212549

    Phone: (219) 836-5800

    Fax: (219) 864-2649

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100519000739IInternal MedicineINTBD
I20230721002384IInternal MedicineMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes2222$0
99213Established patient office or other outpatient visit, 20-29 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 46311)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042123028View full group profile
NameSpecialtyState
Physician AssistantMO
-MN
-KY
Physician AssistantMN
Internal MedicineMN
-MN
Cardiovascular Disease (Cardiology)MN
-WI
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseMN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

Can I use this page to confirm SHAHID HUSSAIN (MD)'s NPI?
Yes. SHAHID HUSSAIN (MD) is listed with NPI 1154314722 in the public NPI dataset.
Does the file indicate SHAHID HUSSAIN (MD) is practicing under active NPI?
Directory data currently reports SHAHID HUSSAIN (MD) as active.
What is SHAHID HUSSAIN (MD)'s specialty?
The listing groups SHAHID HUSSAIN (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SHAHID HUSSAIN (MD)?
SHAHID HUSSAIN (MD)'s geographic hint is Dyer, Indiana in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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