Mohamad R Abul-Khoudoud, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

36305 Issued in KY

Practice address

1532 Lone Oak Rd Ste 345
Paducah, KY 42003-7942

Phone

(270) 415-4150

NPI assigned

Feb 17, 2006

Last updated

Mar 2, 2023By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, OH2 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

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
• Marcum and Wallace Memorial Hospital Hospital, Irvine, KY, CCN 181301
• Three Rivers Medical Center Hospital, Louisa, KY, CCN 180128

Merit-based Incentive Payment System (MIPS)

Final score

88.71 of 100Reported as individual

Quality

84.98

Promoting interoperability

100

Improvement activities

40

Cost

70.06

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mabulkhoudoud717949@direct.bsmhealth.org

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.

• Mercy Health Physicians Kentucky Specialty Care LLC

  • Surgery Physician
  • Paducah, KY
  • NPI 1700408093

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD
• Kings Daughters Medical Specialties Inc

  dba Kings Daughters Medical Specialities ENT

  • Otolaryngology Physician
  • Ashland, KY
  • NPI 1497083539

  OH

  Medicare reassignment NPD
• Kings Daughters Medical Specialties Inc

  dba Kings Daughters Medical Specialties Pulmonary

  • Pulmonary Disease Physician
  • Ashland, KY
  • NPI 1215238662

  Critical Care Medicine

  NPD
• Mercy Health Physicians Kentucky Specialty Care LLC

  dba Mercy Health - Paducah Orthopedics

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
  • NPI 1043088347
  NPD
• Mercy Health Physicians Kentucky LLC

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1922243690
  NPD (past)

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

• Hospital of Louisa, Inc.

  dba Three Rivers Medical Center

  • General Acute Care Hospital
  • Louisa, KY
  • NPI 1063484483
  Care Compare affiliation
• Mercy Health-Lourdes Hospital LLC

  • Clinical Medical Laboratory
  • Paducah, KY
  • NPI 1245620640

  Hospital

  Care Compare affiliation
• Mercy Health-Lourdes Hospital LLC

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1346244126
  Care Compare affiliation
• Mercy Health-Marcum & Wallace Hospital LLC

  dba Mercy Health Marcum and Wallace Hospital

  • Critical Access Hospital
  • Irvine, KY
  • NPI 1487643821
  Care Compare affiliation

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1396710091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD STE 340",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037942",
            "telephone_number": "270-415-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD STE 345",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037942",
            "telephone_number": "270-415-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 23rd St Ste G10",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012886",
            "country_code": "US",
            "telephone_number": "606-408-0926",
            "fax_number": "606-408-6499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABUL-KHOUDOUD",
        "first_name": "MOHAMAD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "36305",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "36305",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "KY",
            "license": "36305",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64960834",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 4D Wellness
• Daniel Francis Abell, DMD
• Hisham Abu Farsak
• Debra Acree
• Tammy Acree
• Acsr, Inc. (Active Day of Paducah)
• Active Care Chiropractic Inc
• Linda Sue Adams

• Pulmonary Disease Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Pulmonary Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.