Individual provider Active NPI

Fawad Shuaib, MD

  • Nephrology Physician
  • Lexington, KY
National Provider Identifier
1609162767
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
50311 Issued in KY
Practice address
740 S Limestone Ste J301
Lexington, KY 40536-0001
Phone
(859) 323-1691
Fax
(859) 323-1700
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.058631 IL
Internal Medicine Physician 207R00000X 50079 TN
Internal Medicine Physician 207R00000X 50311 KY
Hospitalist Physician 208M00000X 50079 TN
Hospitalist Physician 208M00000X 50311 KY
Nephrology Physician 207RN0300X 50311 KY Primary

Addresses

Primary practice location

740 S Limestone Ste J301
Lexington, KY 40536-0001

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-4700

Other practice location 2

851 Locust St
Rogersville, TN 37857-2407
Phone (423) 272-2671

Other practice location 3

800 Rose St
Lexington, KY 40536-0293
Phone (859) 323-6047

Other identifiers 2

IdentifierTypeStateIssuer
300020876MedicaidIN
7100505560MedicaidKY

Other names 1

  • Fnu Fawad Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180222002129 KY Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Hospitalist 8527202134 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5000

Hospital & facility affiliations

  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067
  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • Baptist Health Richmond Hospital, Richmond, KY, CCN 180049

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.058631ILMDInternal Medicine Physician
50311KYMDHospitalist Physician
50079TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Feb 12, 2020 Accepting new patients
Cogent Healthcare of Kentucky, PSC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Kentucky Medical Services Foundation, Inc Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
University of Kentucky Internal Medicine CurrentSince Jun 22, 2023 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince May 19, 2021 Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients

Locations

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

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

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

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

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

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

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

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

Interoperability endpoints

  • Direct secure messaging: ffawad32989@ukhcdirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1609162767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE STE J301",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-1691",
            "fax_number": "859-323-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "42303",
            "country_code": "US",
            "telephone_number": "270-417-4700",
            "fax_number": "270-417-4709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Locust St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572407",
            "country_code": "US",
            "telephone_number": "423-272-2671",
            "fax_number": "423-921-7067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360293",
            "country_code": "US",
            "telephone_number": "859-323-6047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUAIB",
        "first_name": "FAWAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.058631",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "50079",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "50311",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "50079",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "50311",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "50311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300020876",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100505560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FNU",
            "last_name": "FAWAD",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.