Individual provider Active NPI

Haider Shamsulddin

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1528366457
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
46899 Issued in KY
Practice address
1112 Parliament Way
Lexington, KY 40517-1029
Phone
(859) 489-4463
NPI assigned
Mar 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 46899 KY Primary
Internal Medicine Physician 207R00000X MT198566 PA
Infectious Disease Physician 207RI0200X V7782 TX

Addresses

Primary practice location

1112 Parliament Way
Lexington, KY 40517-1029

Mailing address

1112 Parliament Way
Lexington, KY 40517-1029
Phone (859) 489-4463

Other practice location 1

250 S 21st St
Easton, PA 18042-3851
Phone (610) 250-4517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WA, AR, TX, AL, IN, LA, TN, SC, WV, MA, FL12 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 12

Enrollment IDStateProvider typePAC IDDetails
I20150309002545 KY Practitioner - Internal Medicine 2062738081 Reassigns benefits to 9 organizations
I20230829001230 WA Practitioner - Internal Medicine 2062738081 Reassigns benefits to 1 organization
I20250520002022 AR Practitioner - Infectious Disease 2062738081 Reassigns benefits to 1 organization
I20250520002167 TX Practitioner - Infectious Disease 2062738081 Reassigns benefits to 1 organization
I20250521003425 AL Practitioner - Infectious Disease 2062738081 Reassigns benefits to 1 organization
I20250527003037 IN Practitioner - Infectious Disease 2062738081 Reassigns benefits to 1 organization
I20250529001571 LA Practitioner - Infectious Disease 2062738081 Reassigns benefits to 1 organization
I20250603002796 TN Practitioner - Infectious Disease 2062738081 Reassigns benefits to 1 organization
I20250609000008 SC Practitioner - Infectious Disease 2062738081 Reassigns benefits to 1 organization
I20250721001338 WV Practitioner - Infectious Disease 2062738081 Reassigns benefits to 1 organization
I20260227003330 MA Practitioner - Internal Medicine 2062738081 Reassigns benefits to 1 organization
I20260501001794 FL Practitioner - Internal Medicine 2062738081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Hospital Medicine Services of Ky, LLCGroup PAC ID 0244695104, 34 clinicians

Practice addresses (Care Compare)

Spring, TX 77382
Phone (972) 449-0540

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (972) 449-0540

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (972) 449-0540

1 Saint Joseph Dr
Lexington, KY 40504-3742
Phone (859) 313-1000

100 Sadie LN
Morgantown, WV 26508-1166
Phone (972) 449-0540

1710 Harper Rd
Beckley, WV 25801-3357
Phone (972) 449-0540

1801 Ashley Cir
Bowling Green, KY 42104-3362
Phone (270) 793-1000

299 Kings Daughters Dr
Frankfort, KY 40601-6514
Phone (502) 875-5240

551 Hill Country Dr
Kerrville, TX 78028-6085
Phone (972) 449-0540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46899KYMDInternal Medicine Physician
MT198566PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2015 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 25, 2016 Accepting new patients
Access Telecare, PLLC Internal Medicine CurrentSince May 16, 2025 Accepting new patients
Lourdes Hospital LLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
24 On Physicians, P.C. CurrentSince Oct 27, 2015 Accepting new patients
Hospital Medicine Services of Ky, LLC CurrentSince Apr 1, 2023 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
24 On Physicians, PC CurrentSince Oct 27, 2015 Accepting new patients
Cogent Healthcare of Kentucky, PSC Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Jan 24, 2015 Accepting new patients
Ephraim McDowell Health Resource, Inc Internal Medicine CurrentSince Jan 24, 2015 Accepting new patients
RCCH Trios Health LLC Internal Medicine CurrentSince Jul 16, 2023 Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Kennewick Public Hospital District PastSince Jul 16, 2023 Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients
Methodist Medical Center of Illinois Past Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

2 Trillium Way
Ste 306
Corbin, KY 40701
Phone (606) 523-4070

105 Ponder Ct
Ste 104
Danville, KY 40422
Phone (859) 236-4216

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

3730 Plaza Way
Ste 3300
Kennewick, WA 99338
Phone (509) 221-6300

Interoperability endpoints

  • Direct secure messaging: hshamsulddin33153@ukhcdirect.org
  • Direct secure messaging: haider.shamsulddin.1@18485.direct.athenahealth.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1528366457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 PARLIAMENT WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171029",
            "telephone_number": "859-489-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 PARLIAMENT WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171029",
            "telephone_number": "859-489-4463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 S 21st St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180423851",
            "country_code": "US",
            "telephone_number": "610-250-4517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMSULDDIN",
        "first_name": "HAIDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "46899",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT198566",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "V7782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.