NPIMap

Individual provider Active NPI

Kheder Kutmah, M.D.

  • Pulmonary Disease Physician
  • Florence, KY
National Provider Identifier
1487666228
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35543 Issued in KY
Practice address
8820 Bankers St
Florence, KY 41042-4212
Phone
(859) 992-4660
NPI assigned
Aug 12, 2006
Last updated
Apr 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35543 KY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35543 KY
Pulmonary Disease Physician 207RP1001X 35543 KY Primary

Addresses

Primary practice location

8820 Bankers St
Florence, KY 41042-4212

Mailing address

PO Box 304
Florence, KY 41022-0304
Phone (859) 992-4660

Other identifiers 1

IdentifierTypeStateIssuer
64030786MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040420000496 KY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0446143143 Reassigns benefits to 1 organization
I20100611000432 IN Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0446143143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Louisville School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Care Academy, IncGroup PAC ID 3072553478, 2 clinicians

Practice addresses (Care Compare)

1035 Wall St
HCA at Jeffersonville
Jeffersonville, IN 47130-3612
Phone (812) 288-1324

7515 Preston Hwy
Louisville, KY 40219-6164
Phone (859) 992-4660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Center of Kentuckiana, LLC CurrentSince Nov 1, 2006 Accepting new patients
Health Care Academy, Inc CurrentSince Mar 10, 2005 Accepting new patients
Florence Urgent Care Internal Medicine PastSince Jul 1, 2000 Accepting new patients
Saint Catherine Physicians Services LLC Internal Medicine Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

2200 Market St
Charlestown, IN 47111
Phone (812) 256-3301

1035 Wall St
Jeffersonvlle, IN 47130
Phone (502) 526-7123

1035 Wall St
Ste 104
Jeffersonvlle, IN 47130
Phone (502) 254-4014

8820 Bankers St
Florence, KY 41042
Phone (859) 647-1918

7515 Preston Hwy
Louisville, KY 40219
Phone (502) 964-2440

7926 Preston Hwy
Ste 200
Louisville, KY 40219
Phone (502) 964-2440

Organizations & group practices 6

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 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1487666228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410220304",
            "telephone_number": "859-992-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 BANKERS ST",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424212",
            "telephone_number": "859-992-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTMAH",
        "first_name": "KHEDER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "35543",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "35543",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "35543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64030786",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.