Yasir Saifullah, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

32932 Issued in KY

Practice address

103 Financial PL Ste 100
Elizabethtown, KY 42701-4471

Phone

(270) 769-0110

Fax

(270) 765-6953

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGJHBA/Endpoint/BGJHBA

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.

• Yasir LLC

  • Urgent Care Clinic/Center
  • Elizabethtown, KY
  • NPI 1952929689

  Family Medicine

  Medicare reassignment NPD Authorized official
• Baptist Healthcare System Inc

  • General Acute Care Hospital
  • Elizabethtown, KY
  • NPI 1689282147
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1023056959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FINANCIAL PL STE 100",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014471",
            "telephone_number": "270-769-0110",
            "fax_number": "270-765-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FINANCIAL PL STE 100",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014471",
            "telephone_number": "270-769-0110",
            "fax_number": "270-765-6953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Financial Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427014470",
            "country_code": "US",
            "telephone_number": "270-600-0136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Patriot Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400049096",
            "country_code": "US",
            "telephone_number": "502-337-6125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAIFULLAH",
        "first_name": "YASIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "32932",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "32932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64329329",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha Denise Russell, CST, CSFA
• Sarah Catherine Russman
• Angela Belle Rutledge, MSN, APRN, FNP-C
• Savannah Rutter, APRN
• Saeed Ahmed MD PSC
• Saleem Sajid, M.D.
• Joshua K Salabei, MD
• Brooklynn Sallee
• Daniel Sallee
• Dylan Jay Sallee

• Pediatrics Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.