Shabeer Abubucker, MD
Individual provider Active NPI Psychiatry Physician · Madisonville, KY
NPI 1174620165 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1174620165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 4846 (KY)
- Practice address
- 900 Hospital Dr
Madisonville, KY 42431-1644 - Phone
- (270) 825-5650
- Fax
- (270) 825-5569
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Medical College of Georgia School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Deaconess Medical Group Inc
Practice addresses (Care Compare)
900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5800
Hospital & facility affiliations
- Baptist Health Deaconess Madisonville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160108000241 | KY | Practitioner - Psychiatry | 0840386777 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057763 | GA | MD | Psychiatry Physician |
| 4846 | KY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Deaconess Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Ohio Valley Neurology LLC | Current | Accepting new patients | |
| Baptist Health Deaconess Madisonville Inc | Past | Accepting new patients |
Locations
2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900
900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
Interoperability endpoints
- shabeer.abubucker@1023557780701188.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4846 | KY | Yes |
| Psychiatry Physician | 2084P0800X | 42433 | TN | |
| Psychiatry Physician | 2084P0800X | 057763 | GA |
Addresses
Primary practice location
900 Hospital Dr
Madisonville, KY 42431-1644
Mailing address
2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4966
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42433 | Other | TN | LICENSE |
| 7100396060 | Medicaid | KY | |
| 057763 | Other | GA | LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sabubucker34579@bhkydirect.com |
Other providers in Madisonville, KY
- Amy Abbott
- Shelby Abbott
- Absolute Eye Care PLC
- Chelsea Brown Adams
- Erin Rae Adams
- Heath P Adams
- Robert William Adams
- Michelle A. Addington
All providers in Madisonville, KY · Psychiatry Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.