Active NPI
Ibrahim Shahoub, MD
- Pulmonary Disease Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 51579
- Practice address
- 1401 Harrodsburg Rd Ste C405
Lexington, KY 40504-1748 - Phone
- (859) 276-4429
- Fax
- (859) 313-1095
- NPI assigned
- Jul 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 51579 | KY | |
| Pulmonary Disease Physician | 207RP1001X | 51579 | KY | Primary |
Addresses
Primary practice location
1401 Harrodsburg Rd Ste C405
Lexington, KY 40504-1748
Mailing address
PO Box 936
London, KY 40743-0936
Phone (606) 330-7835
Other practice location 1
911 Bypass Rd Bldg A
Pikeville, KY 41501-1689
Phone (606) 430-2208
Other practice location 2
1249 15th Street
Suite 2000
Huntington, WV 25701
Phone (304) 691-1000
Other practice location 3
1249 15th Street
Suite 2000
Huntington, WV 25701
Phone (304) 691-1000
Other practice location 4
740 S Limestone Room L543
Lexington, KY 40536
Phone (859) 323-5921
Other practice location 5
911 Bypass Rd Bldg A
Pikeville, KY 41501-1689
Phone (606) 430-3500
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ishahoub21774@PIKEVILLEKYDIRECT.ORG | Direct | |
| Direct Messaging Address | ishahoub21774@PIKEVILLEKYDIRECT.ORG | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Harrodsburg Rd
Suite C405
Lexington, KY 40504-1748
Phone (859) 276-4429
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51579 | KY | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckyone Health Medical Group, Inc. | Current | Accepting new patients |
Locations
305 Estill St
Berea, KY 40403
Phone (859) 986-1415
1401 Harrodsburg Rd
Ste C405
Lexington, KY 40504
Phone (859) 277-2280
1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744
Interoperability endpoints
- ishahoub21774@pikevillekydirect.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lexington, KY
- NPI 1104875970
-
- Multi-Specialty Clinic/Center
- Pikeville, KY
- NPI 1528195864
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
-
- General Acute Care Hospital
- Mt Sterling, KY
- NPI 1679679146
-
- Rural Acute Care Hospital
- London, KY
- NPI 1992701429
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1629410691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "LONDON",
"state": "KY",
"postal_code": "407430936",
"telephone_number": "606-330-7835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 HARRODSBURG RD STE C405",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405041748",
"telephone_number": "859-276-4429",
"fax_number": "859-313-1095"
}
],
"practiceLocations": [
{
"address_1": "911 Bypass Rd Bldg A",
"address_purpose": "LOCATION",
"city": "Pikeville",
"state": "KY",
"postal_code": "415011689",
"country_code": "US",
"telephone_number": "606-430-2208",
"fax_number": "606-218-7508",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1249 15th Street",
"address_2": "Suite 2000",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "25701",
"country_code": "US",
"telephone_number": "304-691-1000",
"fax_number": "304-691-1693",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1249 15th Street",
"address_2": "Suite 2000",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "25701",
"country_code": "US",
"telephone_number": "304-691-1000",
"fax_number": "304-691-1693",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "740 S Limestone Room L543",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "40536",
"country_code": "US",
"telephone_number": "859-323-5921",
"fax_number": "859-257-9286",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "911 Bypass Rd Bldg A",
"address_purpose": "LOCATION",
"city": "Pikeville",
"state": "KY",
"postal_code": "415011689",
"country_code": "US",
"telephone_number": "606-430-3500",
"fax_number": "606-218-4697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAHOUB",
"first_name": "IBRAHIM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-19",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "KY",
"license": "51579",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KY",
"license": "51579",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ishahoub21774@PIKEVILLEKYDIRECT.ORG",
"affiliation": "N",
"endpointDescription": "Direct address for ccda",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Standard Direct Functionality",
"address_1": "911 Bypass Rd Bldg A",
"city": "Pikeville",
"state": "KY",
"country_code": "US",
"postal_code": "415011689",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ishahoub21774@PIKEVILLEKYDIRECT.ORG",
"affiliation": "N",
"endpointDescription": "Direct address for ccda",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Standard Direct Functionality",
"address_1": "911 Bypass Rd Bldg A",
"city": "Pikeville",
"state": "KY",
"country_code": "US",
"postal_code": "415011689",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.