Individual provider Active NPI

Wajdi S Kfoury, M.D.

  • Infectious Disease Physician
  • Corbin, KY
National Provider Identifier
1124010814
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
38881 Issued in KY
Practice address
1 Trillium Way
Corbin, KY 40701-8727
Phone
(606) 526-4449
Fax
(606) 523-8581
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 38881 KY Primary

Addresses

Primary practice location

1 Trillium Way
Corbin, KY 40701-8727

Mailing address

PO Box 182
Corbin, KY 40702-0182
Phone (606) 767-1577

Other identifiers 3

IdentifierTypeStateIssuer
000000358174OtherKYBCBS- EBMC LOC.
000000521524OtherKYBCBS-KFOURY MED SPEC. LOC
64089154MedicaidKY

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
I20041101000973 KY Practitioner - Infectious DiseasePractitioner - Internal Medicine 1254393374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934

Hospital & facility affiliations

  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38881KYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince May 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2022 Accepting new patients
The Medical Specialists of Ky, PSC Past Accepting new patients
East Bernstadt Medical Clinic PLLC Past Accepting new patients
East Bernstadt Medical Clinic PLLC Past Accepting new patients
Anand PSC Past Accepting new patients
East Bernstadt Medical Clinic PLLC Infectious Disease Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

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

Interoperability endpoints

  • Direct secure messaging: wkfoury7530@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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1124010814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407020182",
            "telephone_number": "606-767-1577",
            "fax_number": "606-523-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRILLIUM WAY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018727",
            "telephone_number": "606-526-4449",
            "fax_number": "606-523-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KFOURY",
        "first_name": "WAJDI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "38881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS- EBMC LOC.",
            "identifier": "000000358174",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-KFOURY MED SPEC. LOC",
            "identifier": "000000521524",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64089154",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.