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Dr. Ali Abdulhameed Kareem Alhusseini , MD

Internal Medicine โ€ข Bellevue, WA

Active NPI 1770840738 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

11511 Ne 10th St
Bellevue, WA 980048578

Call 4255023000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11511 Ne 10th St

Bellevue, WA 980048578

Telephone 4255023000
Fax 4255023589
Organization at the Same NPPES Address or Phone

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Kaiser Foundation Health Plan Of Washington; South Sound Inpatient Physicians Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1991

Medicare patients

89 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $9,229 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $7,152 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

45 standardized 30-day fills in 2019

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$258 in 2019

The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2019.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

35 years (graduated 1991)

CMS Doctors and Clinicians data list 1991 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Alhusseini has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Alhusseini as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bellevue and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 85% of clinicians listed under Internal Medicine in Bellevue, WA (2024, 64 clinicians with data). Median for this group: 488. Middle half: 186 to 1,080.

Fewer Medicare Part B services than 90% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: 445. Middle half: 181 to 884.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Internal Medicine in Bellevue, WA (2024, 64 clinicians with data). Median for this group: $55,758. Middle half: $16,484 to $111,538.

A lower Medicare-allowed amount than 85% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: $44,391. Middle half: $19,546 to $81,175.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Internal Medicine in Bellevue, WA (2024, 64 clinicians with data). Median for this group: $43,439. Middle half: $12,644 to $86,362.

A lower Medicare payment amount than 85% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: $34,352. Middle half: $14,821 to $61,951.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Alhusseini are from 2019.

115 active clinicians are listed under Internal Medicine with a practice address in Bellevue, WA (3,081 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bellevue

35.7% of these 115 clinicians have the CMS telehealth indicator.

66.1% of these 115 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
38 37 $1389.00 $181.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
28 27 $500.00 $82.80

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2019.

CMS Part D ยท Data Year 2019
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Lisinopril Lisinopril 16 526 $111.63 โ€”
Metoprolol Tartrate Metoprolol Tartrate 14 429 $54.82 โ€”
Atorvastatin Calcium Atorvastatin Calcium 11 342 $91.63 โ€”

Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-02
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES WA MD60518190

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Legal Medicine

NUCC Taxonomy Code: 173000000X

License # reported to NPPES WA MD 60518190

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - HOSPITALIST

Medicare Enrollment ID

I20151102001714

Enrollment State Jurisdiction

WA

PECOS Control ID

7012162431

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Kaiser Foundation Health Plan Of Washington

11511 Ne 10th St, Bellevue, WA 980048578

Phone: 4255023000

South Sound Inpatient Physicians Pllc

17700 Se 272nd St, Covington, WA 980424951

Phone: 2533726500

South Sound Inpatient Physicians Pllc

16251 Sylvester Rd Sw, Burien, WA 981663017

Phone: 2062449970

South Sound Inpatient Physicians Pllc

202 N Division St, Auburn, WA 980014939

Phone: 2538337711

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Mon Tristan Atanacio , NP-C

Nurse Practitioner - Family

NPI 1184174492

Nurse Practitioner (Certified)

Bradley Barrett , PA-C

Physician Assistant - Surgical

NPI 1174899785

Physician Assistant (Certified)

Dr. Maureen Berberian , DNP, ACNPC-BC

Nurse Practitioner - Acute Care

NPI 1124281928

Doctor of Nursing Practice, ACNPCBC

Dr. Amy Calimlim , DO

Emergency Medicine

NPI 1336339654

Doctor of Osteopathic Medicine (D.O.)

NPI 1093749640

Doctor of Medicine (M.D.)

Andy Chien

Dermatology

NPI 1104902956

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Practice Location August 02, 2021

Registered at 11511 NE 10TH ST, BELLEVUE, WA 980048578 (Tel: 4255023000)

๐Ÿ“
Updated Business Mailing Address August 02, 2021

Registered at 11511 NE 10TH ST, BELLEVUE, WA 980048578 (Tel: 4255023000)

๐Ÿ‘ค
Provider Name / Credentials Updated August 02, 2021

Recorded as ALI ALHUSSEINI, MD

โœ…
NPI Profile Active August 18, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) August 18, 2016

Registered at 16251 SYLVESTER RD SW, BURIEN, WA 981663017 (Tel: 2062449970)

๐Ÿ“
Business Mailing Address (Initial Record) August 18, 2016

Registered at PO BOX 3542, BELLEVUE, WA 980093542 (Tel: 2064993620)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) August 18, 2016

Recorded as ALI ALHUSSEINI, M.B.CH.B.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2016

Legal Medicine (license number reported to NPPES: WA MD 60518190)

๐ŸŸข
Initial NPI Registration & Enumeration April 16, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770840738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2012
Last Update: August 02, 2021
Sole Proprietor: No

Other Internal Medicine Providers in Bellevue

All Internal Medicine Providers in Bellevue

Mailing Address

11511 Ne 10th St

Bellevue, WA 980048578

Phone: 4255023000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.