Individual provider Active NPI

Basim Kahleifeh, M.D.

  • Obstetrics & Gynecology Physician
  • Bardstown, KY
National Provider Identifier
1225147234
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36376 Issued in KY
Practice address
118 Patriot Drive
Suite 202
Bardstown, KY 40004
Phone
(502) 348-8100
Fax
(502) 348-8900
NPI assigned
Aug 30, 2006
Last updated
Jan 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 10224 HI
Obstetrics & Gynecology Physician 207V00000X 2001-49 NM
Obstetrics & Gynecology Physician 207V00000X 36376 KY Primary

Addresses

Primary practice location

118 Patriot Drive
Suite 202
Bardstown, KY 40004

Mailing address

118 Patriot Drive
Suite 202
Bardstown, KY 40004
Phone (502) 348-8100

Other identifiers 1

IdentifierTypeStateIssuer
64033657MedicaidKY

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
I20070726000445 KY Practitioner - Obstetrics/Gynecology 3971567264 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Boston University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Obhg Kentucky PSCGroup PAC ID 5496910200, 28 clinicians

Practice addresses (Care Compare)

118 Patriot Dr
Bardstown, KY 40004-9096

200 E Chestnut St
Louisville, KY 40202-1831
Phone (800) 967-2289

2603 Kentucky Ave
Suite 304
Paducah, KY 42003-3829
Phone (270) 415-4800

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275

Hospital & facility affiliations

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
10224HIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2022 Accepting new patients
Obhg Kentucky, P.S.C. Obstetrics & Gynecology CurrentSince Jul 29, 2018 Accepting new patients
Pediatrix Medical Group of Kentucky PSC CurrentSince Oct 20, 2023 Accepting new patients
Baptist Health Medical Group Inc Obstetrics & Gynecology Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2022 Accepting new patients
Baptist Healthcare System Inc Past Accepting new patients

Locations

118 Patriot Dr
Ste 202
Bardstown, KY 40004
Phone (502) 331-4724

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Interoperability endpoints

  • Direct secure messaging: basim.kahleifeh@kyb012.digichart.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1225147234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PATRIOT DRIVE",
            "address_2": "SUITE 202",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-348-8100",
            "fax_number": "502-348-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PATRIOT DRIVE",
            "address_2": "SUITE 202",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-348-8100",
            "fax_number": "502-348-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLEIFEH",
        "first_name": "BASIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "10224",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "2001-49",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "36376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64033657",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.