NPIMap

Individual provider Active NPI

Housam Aldeen Sarakbi, MD

  • Rheumatology Physician
  • Louisville, KY
National Provider Identifier
1629475066
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
TP167 Issued in KY
Practice address
401 E Chestnut St Unit 550
Louisville, KY 40202-5705
Phone
(502) 992-7620
NPI assigned
Dec 1, 2014
Last updated
May 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301113943 MI
Rheumatology Physician 207RR0500X TP167 KY Primary
Rheumatology Physician 207RR0500X 40639-020 WI
Rheumatology Physician 207RR0500X 4301113943 MI

Addresses

Primary practice location

401 E Chestnut St Unit 550
Louisville, KY 40202-5705

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 992-7620

Other practice location 1

4160 John R St Ste 917
Detroit, MI 48201
Phone (313) 745-4525

Other practice location 2

400 Mack Ave
Detroit, MI 48201-2136
Phone (313) 448-9650

Other identifiers 3

IdentifierTypeStateIssuer
1629475066MedicaidWI
SARAKHOUOtherWIMERCYCARE INSURANCE
1629475066OtherWIBCBSWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180905003228 MI Practitioner - RheumatologyPractitioner - Internal Medicine 7113234022 Reassigns benefits to 1 organization
I20240604001378 KY Practitioner - Rheumatology 7113234022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 E Chestnut St
Suite 310
Louisville, KY 40202-5703
Phone (502) 584-8563

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40639-020WIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc Rheumatology CurrentSince May 9, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince May 9, 2024 Accepting new patients
University of Louisville Physicians, Inc. Internal Medicine Current Accepting new patients
University Physician Group Internal Medicine CurrentSince Aug 17, 2018 Accepting new patients
University Physician Group Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

401 E Chestnut St
Unit 310
Louisville, KY 40202
Phone (502) 584-8563

401 E Chestnut St
Unit 550
Louisville, KY 40202
Phone (502) 588-0424

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4160 John R St
Ste 615
Detroit, MI 48201
Phone (313) 745-4195

4160 John R St
Ste 917
Detroit, MI 48201
Phone (313) 745-1445

4201 Saint Antoine St
Ste 5C
Detroit, MI 48201
Phone (313) 577-5030

26400 W 12 Mile Rd
Ste 111
Southfield, MI 48034
Phone (248) 357-4151

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1629475066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-992-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST UNIT 550",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025705",
            "telephone_number": "502-992-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 John R St Ste 917",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48201",
            "country_code": "US",
            "telephone_number": "313-745-4525",
            "fax_number": "313-745-0011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Mack Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012136",
            "country_code": "US",
            "telephone_number": "313-448-9650",
            "fax_number": "313-448-9979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARAKBI",
        "first_name": "HOUSAM",
        "middle_name": "ALDEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301113943",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "TP167",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WI",
            "license": "40639-020",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301113943",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629475066",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "SARAKHOU",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSWI",
            "identifier": "1629475066",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.