Individual ProviderAsadullah HussainAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294(972) 715-5000(972) 233-1999PECOS EnrollmentBased on the most recent information from CMS, provider Asadullah Hussain is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1174500540Provider TypeIndividualFull NameHussain, AsadullahTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date12/28/2005Last Updated6/13/2022Contact InformationPractice LocationPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294Phone(972) 715-5000Fax(972) 715-9976Mailing LocationMailing AddressPO Box 840853, Dallas, TX 75284-0853Phone(972) 233-1999Fax(972) 233-3666Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseL1077TexasCode207LP2900XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseL1077TexasCode208VP0014XDescriptionPain MedicineAllopathic & Osteopathic PhysiciansLicenseL1077TexasProvider IdentifiersIDDescriptionIssuerID036880503DescriptionMedicaidIssuerUnlistedTexasID050078306DescriptionOtherIssuerRAILROADTexasID036880504DescriptionMedicaidIssuerUnlistedTexasID8A4393DescriptionOtherIssuerBCBSTexasID036880501DescriptionMedicaidIssuerUnlistedTexasID036880505DescriptionMedicaidIssuerUnlistedTexasID1548739964DescriptionOtherIssuerPINNACLE PAIN MEDICINETexasID401540601DescriptionMedicaidIssuerUnlistedTexasID036880509DescriptionMedicaidIssuerUnlistedTexasID036880502DescriptionMedicaidIssuerUnlistedTexasID8EL393DescriptionOtherIssuerBCBS TXTexas