Individual provider Active NPI

Syedkashif B Haider, M.D.

  • Gastroenterology Physician
  • Elizabethtown, KY
National Provider Identifier
1609958388
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
33558 Issued in KY
Practice address
2406 Ring Rd
Elizabethtown, KY 42701-7940
Phone
(270) 234-8866
Fax
(270) 234-1355
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 33558 KY Primary

Addresses

Primary practice location

2406 Ring Rd
Elizabethtown, KY 42701-7940

Mailing address

2406 Ring Rd
Elizabethtown, KY 42701-7940
Phone (270) 234-8866

Other identifiers 9

IdentifierTypeStateIssuer
18K7OtherKYBLUE CROSS NUMBER
01046686AOtherINMEDICAL LICENSE
0496484OtherKYCIGNA NUMBER
165678OtherAMERICAN BD OF INT MED CE
5720595OtherKYAETNA NUMBER
64553381MedicaidKY
KY33558OtherKYMEDICAL LICENSE
1120019OtherKYPASSPORT ID NUMBER
7255DOtherECFMG

Other names 1

  • Mr. Syed Kashif Bilal Haider Other 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
I20111214001034 KY Practitioner - Gastroenterology 0244335487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2406 Ring Rd
Elizabethtown, KY 42701-7940
Phone (270) 234-8866

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy200
Upper gastrointestinal (GI) endoscopy for acid reflux360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33558KYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Saeed Ahmed MD PSC Gastroenterology PastSince Mar 10, 2017 Accepting new patients
Heartland Digestive Disease Center, LLC Gastroenterology PastSince Jan 1, 2002 Accepting new patients

Locations

2406 Ring Rd
Elizabethtown, KY 42701
Phone (270) 234-8866

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Organizations & group practices 4

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 1

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609958388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017940",
            "telephone_number": "270-234-8866",
            "fax_number": "270-234-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017940",
            "telephone_number": "270-234-8866",
            "fax_number": "270-234-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "SYEDKASHIF",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "33558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "18K7",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "01046686A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA NUMBER",
            "identifier": "0496484",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BD OF INT MED CE",
            "identifier": "165678",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NUMBER",
            "identifier": "5720595",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64553381",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "KY33558",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ID NUMBER",
            "identifier": "1120019",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "7255D",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYED KASHIF",
            "last_name": "HAIDER",
            "middle_name": "BILAL",
            "prefix": "MR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.