Amina Shalash, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36085 Issued in KY

Practice address

1110 McCann Dr
Suite B
Winchester, KY 40391-1157

Phone

(859) 744-1445

Fax

(859) 744-1442

NPI assigned

May 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

University of Kentucky College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092
• Saint Joseph East Hospital, Lexington, KY, CCN 180143
• Saint Joseph Mount Sterling Hospital, Mount Sterling, KY, CCN 180064

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gbe9040@yourcarecommunity.org
• FHIR API: https://api.platform.athenahealth.com/23784/brand/1/csg/1/fhir/r4
• Direct secure messaging: amina.shalash@699574290677764.direct.elationemr.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Winchester Family Practice, PSC

  • Family Medicine Physician
  • Winchester, KY
  • NPI 1528094281

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Winchester Family Practice, PSC

  • Family Medicine Physician
  • Winchester, KY
  • NPI 1528094281
  Medicare reassignment NPD Authorized official

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

• Kentucky Hospital, LLC

  • General Acute Care Hospital
  • Winchester, KY
  • NPI 1811213994
  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1447457775
  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Mt Sterling, KY
  • NPI 1679679146
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1528019288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 N HIGHLAND ST",
            "address_2": "STE A",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912024",
            "telephone_number": "859-744-1445",
            "fax_number": "859-744-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MCCANN DR",
            "address_2": "SUITE B",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911157",
            "telephone_number": "859-744-1445",
            "fax_number": "859-744-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALASH",
        "first_name": "AMINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "36085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64052665",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Ann Schulte, DEVELOPMENTAL INTERV
• Jeffrey Todd Scobee, DMD
• SE Mobile House Calls
• Scott Alan Seitz, APRN-BC
• Travis Clay Sewalls, MD
• Shanda L J Morris MD, PLLC
• Sandra Shannon
• Sharrock Strength and Rehab LLC
• Christopher R. Sharrock, DPT
• Holly Shearer, PHARMD

• Family Medicine Physician in Winchester, KY
• Providers in Winchester, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.