Physician Compare National (NPI:1881628071)

HEALTHCARE PROVIDER: ROSHAN ALLY HUSSAIN M.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881628071
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759483969
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070219000429
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUSSAIN
	Individual professional last name
Provider First Name	ROSHAN
	Individual professional first name
Provider Middle Name	ALLY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	400 HOSPITAL DR
	Group Practice or individual's line 1 address
City	SPENCER
	Group Practice or individual's city
State	WV
	Group Practice or individual's state
Zip Code	252761059
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3049275920
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	511303
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MINNIE HAMILTON HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	511306
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ROANE GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y