Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ali Imtiaz Hussain, MD

Individual provider Family Medicine Physician · NPI 1679951461

Dr. Ali Imtiaz Hussain, MD is a Family Practice in Madisonville, Kentucky. Qualified in 2014, 12 years ago. Practices with Impact Physician Group, Tennessee LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
12
Licensed in
KY
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Clinic Dr
Madisonville, KY 42431-1661
Phone: (270) 825-6691
Fax: (270) 825-6696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 50573 (KY)

Record details

NPI number1679951461
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 12, 2015
Last updated in NPPESJanuary 31, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Impact Physician Group, Tennessee Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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