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HUSSAM KUDSI M.D. NPI 1154633477


NPI Information

NPI: 1154633477
Provider Name: HUSSAM KUDSI, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Organization: PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC

PECOS Registration: Yes

Address:
3998 RED LION RD
SUITE 235
PHILADELPHIA, PA
ZIP 19114
Phone: (215) 632-3630
Get Directions

Hussam Kudsi, M.D. is a surgery in Philadelphia, PA with 25 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Hussam Kudsi, M.D. NPI is 1154633477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3998 RED LION RD
SUITE 235
PHILADELPHIA, PA
ZIP 19114-445
Phone: (215) 632-3630
Fax: (215) 632-3544

The NPI 1154633477 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/2/2010 and was last updated on 9/17/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryMD430344PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13798261000OTHERPENNSYLVANIAKEYSTONE IBC
246749MD430344OTHERPENNSYLVANIAHEALTH PARTNERS
32520599OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
46577180OTHERPENNSYLVANIAAETNA HMO
51025134380001MEDICAIDPENNSYLVANIA
630092324OTHERPENNSYLVANIAKEYSTONE MERCY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.