NPIMap

Individual provider Active NPI

Fadi Bacha, M.D.

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1639157456
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32006 Issued in KY
Practice address
3116 Harrodsburg Rd.
Lexington, KY 40503
Phone
(859) 687-0023
Fax
(859) 268-0086
NPI assigned
Jan 3, 2006
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32006 KY Primary

Addresses

Primary practice location

3116 Harrodsburg Rd.
Lexington, KY 40503

Mailing address

3116 Harrodsburg Rd.
Lexington, KY 40503
Phone (859) 687-0023

Other identifiers 1

IdentifierTypeStateIssuer
64320005MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031204001159 KY Practitioner - General SurgeryPractitioner - Internal Medicine 6305741067 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatientcare PLLCGroup PAC ID 6002063138, 3 clinicians

Practice addresses (Care Compare)

3116 Harrodsburg Rd
Lexington, KY 40503-2709
Phone (859) 687-0023

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.68 of 100Reported as individual
Quality
70
Improvement activities
0
Cost
72.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32006KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health PLLC Internal Medicine CurrentSince Apr 1, 2014 Accepting new patients
Lexington Vein Institute PLLC CurrentSince Apr 1, 2018 Accepting new patients
Inpatientcare PLLC Internal Medicine CurrentSince May 8, 2012 Accepting new patients
South Lexington Urgent Treatment Associates, PSC Past Accepting new patients
Kentucky Urgent Treatment Associates, PSC PastSince Apr 1, 2007 Accepting new patients
Lexington Urgent Treatment Associates, PLLC PastSince Oct 1, 2001 Accepting new patients
North Lexington Urgent Treatment Associates PSC Internal Medicine PastSince Nov 5, 2001 Accepting new patients
Acute Care Specialists, Inc. Past Accepting new patients
Bluegrass Inpatient Group PLLC Internal Medicine PastSince May 13, 2024 Accepting new patients
Ready Lab LLC PastSince Jun 18, 2020 Accepting new patients
Select Specialty Hospital - Lexington Inc Past Accepting new patients

Locations

245 Prince Royal Dr
Ste A
Berea, KY 40403
Phone (859) 986-0375

3050 Rio Dosa Dr
Lexington, KY 40509
Phone (859) 268-6475

3116 Harrodsburg Rd
Lexington, KY 40503
Phone (859) 268-0082

300 Viking Dr
Morehead, KY 40351
Phone (606) 462-3795

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cardinal Hill Skilled Rehabilitation UnitLexington, KY, CCN 185467 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 17, 2017
Jun 17, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 12

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1639157456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 HARRODSBURG RD.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-687-0023",
            "fax_number": "859-268-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 HARRODSBURG RD.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-687-0023",
            "fax_number": "859-268-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHA",
        "first_name": "FADI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "32006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64320005",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.