Active NPI
Sardar Hassan Ijaz, MD
- Interventional Cardiology Physician
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 58363
- Practice address
- 250 Park St
Bowling Green, KY 42101-1760 - Phone
- (270) 745-1000
- NPI assigned
- Jul 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 33039 | OK | |
| Interventional Cardiology Physician | 207RI0011X | 58363 | KY | Primary |
Addresses
Primary practice location
250 Park St
Bowling Green, KY 42101-1760
Mailing address
250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
427 US 31W Byp
Bowling Green, KY 42101-1703
Phone (270) 901-0629
Hospital & facility affiliations
- The Medical Center (Bowling Green)
- The Medical Center at Russellville
- The Medical Center at Franklin
- The Medical Center at Albany
- The Medical Center at Scottsville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 71 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33039 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Commonwealth Health Corporation | Past | Accepting new patients |
Locations
723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421
427 US 31W Byp
Bowling Green, KY 42101
Phone (270) 796-8000
825 2nd Ave
Ste B1
Bowling Green, KY 42101
Phone (270) 843-8600
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
421 US 31W Byp
Bowling Green, KY 42101
Phone (270) 782-7768
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
466 Burnley Rd
Scottsville, KY 42164
Phone (270) 237-3131
Organizations & group practices 4
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.
-
- Neurology Physician
- Bowling Green, KY
- NPI 1881109304
-
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
- NPI 1104470699
-
- Family Medicine Physician
- Bowling Green, KY
- NPI 1821478975
-
- Family Medicine Physician
- Scottsville, KY
- NPI 1508899089
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
-
- Rural Acute Care Hospital
- Russellville, KY
- NPI 1124868963
-
- Critical Access Hospital
- Albany, KY
- NPI 1598125502
-
- Critical Access Hospital
- Scottsville, KY
- NPI 1710906565
-
- Critical Access Hospital
- Franklin, KY
- NPI 1831173467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1306368543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011760",
"telephone_number": "270-745-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011760",
"telephone_number": "270-745-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IJAZ",
"first_name": "SARDAR",
"middle_name": "HASSAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-10",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "33039",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": "58363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.