Hisham Abu Farsak

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

56366 Issued in KY

Practice address

1532 Lone Oak Rd Ste 315
Paducah, KY 42003-7942

Phone

(270) 538-5880

Fax

(270) 538-5870

NPI assigned

Jul 9, 2018

Last updated

Jul 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, TN2 enrollments

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 2

Specialty

Nephrology

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kidney Specialists of Paducah PLLCGroup PAC ID 1557605649, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC - Hopkinsville Dialysis facility, Hopkinsville, KY, CCN 182629
• DaVita Christian County Dialysis Dialysis facility, Hopkinsville, KY, CCN 182549
• FMC - Trigg County Dialysis facility, Cadiz, KY, CCN 182608
• Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051
• Trigg County Hospital Hospital, Cadiz, KY, CCN 181304
• Caldwell Medical Center Hospital, Princeton, KY, CCN 181322

Merit-based Incentive Payment System (MIPS)

Final score

94.69 of 100Reported as group

Quality

87.4

Improvement activities

40

Cost

82.42

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Kidney Specialists of Paducah PLLC

  • Nephrology Physician
  • Paducah, KY
  • NPI 1740765957

  TN

  Medicare reassignment Care Compare group NPD
• Jackson Purchase Medical Associates, PSC

  • Legal Medicine
  • Paducah, KY
  • NPI 1699850263

  Nephrology

  NPD
• Gamma Acquisition, Inc.

  dba Lifeline Home Health of Western KY

  • Home Health Agency
  • Hopkinsville, KY
  • NPI 1851324297
  NPD (past)

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

• Dva Renal Healthcare Inc

  dba Christian County Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hopkinsville, KY
  • NPI 1184687824

  Dialysis facility

  Care Compare affiliation Name & address match
• Fresenius Medical Care Hopkinsville, LLC

  dba Fresenius Medical Care of Hopkinsville

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hopkinsville, KY
  • NPI 1356748263

  Dialysis facility

  Care Compare affiliation Name & address match
• Nna of Paducah, LLC

  dba Frsenius Medical Care Trigg County

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cadiz, KY
  • NPI 1407178825

  Dialysis facility

  Care Compare affiliation Name & address match
• Caldwell County Hospital, Inc

  • Occupational Medicine Physician
  • Princeton, KY
  • NPI 1780688333

  Hospital

  Care Compare affiliation
• Jennie Stuart Medical Center Inc

  • General Acute Care Hospital
  • Hopkinsville, KY
  • NPI 1235139312
  Care Compare affiliation
• Trigg County Hospital, Inc

  • Critical Access Hospital
  • Cadiz, KY
  • NPI 1538218680
  Care Compare affiliation

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1346736857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BURLEY AVE STE D",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408725",
            "telephone_number": "270-538-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD STE 315",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037942",
            "telephone_number": "270-538-5880",
            "fax_number": "270-538-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU FARSAK",
        "first_name": "HISHAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "56366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 4D Wellness
• Daniel Francis Abell, DMD
• Mohamad R Abul-Khoudoud, MD
• Debra Acree
• Tammy Acree
• Acsr, Inc. (Active Day of Paducah)
• Active Care Chiropractic Inc

• Nephrology Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Nephrology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.

Verify at the official NPI Registry.