Individual provider Active NPI

Hanan Nafitz Budeiri, M.D.

  • Internal Medicine Physician
  • Richmond, KY
National Provider Identifier
1013962653
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33601 Issued in KY
Practice address
801 Eastern Byp
Richmond, KY 40475-2751
Phone
(859) 625-3603
Fax
(859) 625-3757
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33601 KY
Internal Medicine Physician 207R00000X 33601 KY Primary

Addresses

Primary practice location

801 Eastern Byp
Richmond, KY 40475-2751

Mailing address

5200 Commerce Crossings Dr FL 3
Louisville, KY 40229-2182
Phone (502) 253-4900

Other practice location 1

107 Meridian Way
Richmond, KY 40475-2878
Phone (859) 624-6366

Other practice location 2

3601 SW 160th Ave
Suite 250
Miramar, FL 33027-6308
Phone (877) 866-7123

Other identifiers 3

IdentifierTypeStateIssuer
64363013MedicaidKY
6593524900MedicaidKY
5771OtherKYMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000624 KY Practitioner - Internal Medicine 3870559164 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33601KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jun 22, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 15, 2019 Accepting new patients
Vohra Post Acute Care Physicians of the East, PA Family Medicine CurrentSince Feb 13, 2017 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 22, 2015 Accepting new patients
Hospice Care Plus, Inc PastSince May 21, 2023 Accepting new patients
Baptist Healthcare System, Inc. Family Medicine Past Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

96 Future Dr
Corbin, KY 40701

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

10200 Forest Green Blvd
Ste 112
Louisville, KY 40223
Phone (502) 214-5343

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

789 Eastern Byp
Ste 11
Richmond, KY 40475
Phone (859) 624-0012

793 Eastern Byp
Ste 201
Richmond, KY 40475
Phone (859) 624-6560

789 Eastern Byp
Ste 25
Richmond, KY 40475
Phone (859) 278-1114

130 Meadowlark Dr
Richmond, KY 40475
Phone (606) 623-9472

801 Eastern Byp
Richmond, KY 40475
Phone (606) 623-3131

Interoperability endpoints

  • Direct secure messaging: hbudeiri6174@bhkydirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1013962653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 COMMERCE CROSSINGS DR FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292182",
            "telephone_number": "502-253-4900",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 EASTERN BYP",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752751",
            "telephone_number": "859-625-3603",
            "fax_number": "859-625-3757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Meridian Way",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752878",
            "country_code": "US",
            "telephone_number": "859-624-6366",
            "fax_number": "859-971-4695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 SW 160th Ave",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330276308",
            "country_code": "US",
            "telephone_number": "877-866-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDEIRI",
        "first_name": "HANAN",
        "middle_name": "NAFITZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "33601",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "33601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64363013",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6593524900",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "5771",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.