Nidal Al-hosainat, MD - Medicare Internal Medicine in Bloomington, IN

Nidal Al-hosainat, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Bloomington, Indiana. His current practice location is 550 S Landmark Ave, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 676-4660.

Nidal Al-hosainat is licensed to practice in Indiana (license number 01088556A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700362670.

Contact Information

Nidal Al-hosainat, MD
550 S Landmark Ave,
Bloomington, IN 47403-3239
(812) 676-4660
(812) 676-4501



Physician's Profile

Full NameNidal Al-hosainat
GenderMale
SpecialityInternal Medicine - Nephrology
Location550 S Landmark Ave, Bloomington, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700362670
  • Provider Enumeration Date: 07/13/2018
  • Last Update Date: 09/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436407830
  • Enrollment ID: I20230609000846

Medical Identifiers

Medical identifiers for Nidal Al-hosainat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700362670NPI-NPPES
090540869OtherINMEDICARE PTAN
300075795MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 01088556A (Indiana)Secondary
207R00000XInternal Medicine 000000 (New York)Secondary
207RN0300XInternal Medicine - Nephrology BP10063896 (Texas)Secondary
207RN0300XInternal Medicine - Nephrology 01088556A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nidal Al-hosainat allows following entities to bill medicare on his behalf.
Entity NameIndiana University Health Southern Indiana Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013953983
PECOS PAC ID: 6204748197
Enrollment ID: O20040423000556

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nidal Al-hosainat is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nidal Al-hosainat, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -
Nidal Al-hosainat, MD
550 S Landmark Ave,
Bloomington, IN 47403-3239

Ph: (812) 676-4660

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Internal Medicine Doctors in Bloomington, IN

Wai Pok Vernon Chan, DO
Nephrology
Medicare: Medicare Enrolled
Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408
Phone: 812-676-4102    Fax: 812-676-4106
Dr. Kevin Edward Zawacki, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1312 W. Arch Haven Avenue, Bloomington, IN 47403
Phone: 812-676-4144    Fax: 812-339-8344
Mr. Rana Zouveenoor Tariq, M.D
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1312 W Arch Haven Ave, Bloomington, IN 47403
Phone: 812-676-4144    
Dr. Samuel W Kimani, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 550 S Landmark Ave, Bloomington, IN 47403
Phone: 812-331-3400    Fax: 812-332-7265
Dr. Simeon Zou, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 583 S Clarizz Blvd, Bloomington, IN 47401
Phone: 812-676-4460    Fax: 812-355-4092
Shelby Renee Tipton, DO
Nephrology
Medicare: Medicare Enrolled
Practice Location: 2905 N Stone Carver Dr, Bloomington, IN 47404
Phone: 812-676-4715    
Ms. Louise Anne Owens, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 500 S Madison St, Bloomington, IN 47403
Phone: 812-334-3303    Fax: 812-334-0842

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