ZARA A HUSSAIN MD
NPI 1215565908
Pediatrics in Fargo, ND
NPI Status: Active since March 30, 2020
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About ZARA HUSSAIN
This page provides the complete NPI Profile along with additional information for Zara Hussain, a pediatrician established in Fargo, North Dakota with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1215565908 assigned on March 2020. The practitioner's primary taxonomy code is 208000000X with license number 19567 (ND). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1215565908
- Provider Name
- ZARA A HUSSAIN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4110 51ST AVE S FARGO, ND 58104
- Location Phone
- (701) 364-3100
- Mailing Address
- 1702 UNIVERSITY DR S FARGO, ND 58103
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-30-2020
- Last Update Date
- 08-03-2023
- Code Navigator
A pediatrician like Zara Hussain is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 19567
- License State
- ND
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
- Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Essentia Choice Care with Medica Bronze Share - EPO
- Essentia Choice Care with Medica Bronze Share - HMO
- Essentia Choice Care with Medica Expanded Bronze Standard - EPO
- Essentia Choice Care with Medica Expanded Bronze Standard - HMO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Gold Share - EPO
- Essentia Choice Care with Medica Gold Share - HMO
- Essentia Choice Care with Medica Gold Standard - EPO
- Essentia Choice Care with Medica Gold Standard - HMO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Silver Share - EPO
- Essentia Choice Care with Medica Silver Share - HMO
- Essentia Choice Care with Medica Silver Standard - EPO
- Essentia Choice Care with Medica Silver Standard - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Zara Hussain is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 58104 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.71
- Minimum New Patient Price $55.75
- Maximum New Patient Price $168.12
- Average New Patient Copayment $21.42
- Minimum New Patient Copayment $13.93
- Maximum New Patient Copayment $42.03
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.29
- Minimum Established Patient Price $18.11
- Maximum Established Patient Price $137.65
- Average Established Patient Copayment $24.57
- Minimum Established Patient Copayment $4.52
- Maximum Established Patient Copayment $34.41
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 5 | 6 | 5 | 9 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 10 | 6 | 10 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 0 + 6 + 1 + 0 + 9 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1215565908 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114048378 | KATIE MARIE BRADSHAW PT Individual | Physical Therapist | 4110 51ST AVE S FARGO, ND 58104 (701) 364-4222 |
| 1225576739 | PATRICK FAHEY PA-C Individual | Physician Assistant | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1619407327 | KRISTY RATTI DPT Individual | Physical Therapist | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1144710658 | INNOVIS HEALTH, LLC Organization | Non-Pharmacy Dispensing Site | 4110 51ST AVE S FARGO, ND 58104 (952) 653-2565 |
| 1154809267 | BRITTNEY L BENSON PA-C Individual | Physician Assistant | 4110 51ST AVE S FARGO, ND 58104 (701) 364-8000 |
| 1861044562 | SARAH B HANSON APRN, CNP Individual | Nurse Practitioner (Family) | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1992275671 | TIFFANY AMBER PICKARD APRN, CNP Individual | Nurse Practitioner | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1790372712 | KIMBERLY MAE NAPLIN NP Individual | Nurse Practitioner (Family) | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1720566847 | LYDIA CHARDEL BRUENJES PA Individual | Physician Assistant | 4110 51ST AVE S FARGO, ND 58104 (017) 364-3100 |
| 1003015314 | DR. MICHELLE RENAE BRADLEY DO Individual | Family Medicine | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1740915115 | KYLIE ENGEBRETSON PA-C Individual | Physician Assistant | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1477644482 | MICHELLE FRANEK NP Individual | Nurse Practitioner (Family) | 4110 51ST AVE S FARGO, ND 58104 (017) 364-8000 |
| 1992406656 | SIDNEY R JOHNK APRN,CNP Individual | Nurse Practitioner (Pediatrics) | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1043671696 | NIKKI C JESSUP FNP-BC Individual | Nurse Practitioner (Family) | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1578245528 | BRADY K LARSON APRN,CNP Individual | Nurse Practitioner (Family) | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1508201930 | ASHLEY WILKE MD Individual | Family Medicine | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1780043257 | INNOVIS HEALTH LLC Organization | Clinic/Center (Multi-Specialty) | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1073391033 | MELANIE A HULM PA-C Individual | Physician Assistant | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1003630302 | TONYA M OTTO APRN,CNP Individual | Nurse Practitioner (Family) | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1164232245 | KENDRA ERIN PAEPER APRN, CNP Individual | Nurse Practitioner (Family) | 4110 51ST AVE S FARGO, ND 58104 (218) 786-8364 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215565908, enumerated in the NPI registry as an "individual" on March 30, 2020
The provider is located at 4110 51st Ave S Fargo, Nd 58104 and the phone number is (701) 364-3100
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.71 with an average copayment of $21.42 for new patient appointments. Established patients should expect a typical charge of $98.29 and an average copayment of 24.57. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 30, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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