Amal M Abdul Hussein
SOUTHGATE MEDICAL CENTER PLLC


Address: 13460 Fort St, Southgate, MI 48195-1138
Phone: 7342842090

Amal M Abdul Hussein (NPI# 1083814420, PAC ID# 3274607262) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1083814420
PAC ID by PECOS 3274607262
Professional Enrollment ID I20080808000809
Full Name Amal M Abdul Hussein
Organization Legal Name SOUTHGATE MEDICAL CENTER PLLC
Address 13460 Fort St
Southgate
MI 48195-1138
Phone Number 7342842090
Gender F
Graduation Year 1988
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 2264688621
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230146 HENRY FORD WYANDOTTE HOSPITAL
230020 BEAUMONT HOSPITAL - DEARBORN
230053 HENRY FORD HOSPITAL

Other Locations

Address Phone Organization
13460 Fort St, Southgate, MI 48195-1138 7342842090 SOUTHGATE MEDICAL CENTER PLLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name SOUTHGATE MEDICAL CENTER PLLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Bahae M Ebrahem Internal Medicine Southgate Medical Center Pllc 13460 Fort St, Southgate, MI 48195-1138

Office Location

Street Address 13460 FORT ST
City SOUTHGATE
State MI
Zip 48195-1138

Physicians in the same location

Name Specialty Organization Address
Bahae M Ebrahem Internal Medicine Southgate Medical Center Pllc 13460 Fort St, Southgate, MI 48195-1138

Physicians in the same zip code

Name Specialty Organization Address
Michael Baghdoian Orthopedic Surgery 13479 Northline Rd, Southgate, MI 48195-1064
Kate Schmoekel Physical Therapy Orthopedic Associates, P.C. 13479 Northline Rd, Southgate, MI 48195-1064
Ramalingeswara Yalamanchi Internal Medicine 13300 Northline Rd, Southgate, MI 48195-1065
Rajasingh Johnson Physical Therapy 13245 Northline Rd, Southgate, MI 48195-1070
Howard B Shore Chiropractic 13560 Northline Rd, Southgate, MI 48195-1080
Lisa A Marlow Qualified Audiologist Sheila M Ray Md PC 13136 Fort St, Southgate, MI 48195-1102
Sheila M Ray Otolaryngology Sheila M Ray Md PC 13136 Fort St, Southgate, MI 48195-1102
Ali Saad Allergy/immunology 12811 Northline Rd, Southgate, MI 48195-1109
Aaron L Scheinker Optometry 13350 Fort St, Southgate, MI 48195-1137
Edward I Nazareno Family Practice 13650 Fort St, Southgate, MI 48195-1152
Find all physicians in zip 48195

Competitor

Search similar physicians

City SOUTHGATE
Zip Code 48195
Specialty FAMILY MEDICINE
City + Specialty SOUTHGATE + FAMILY MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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