Individual provider Active NPI

Khaled Saleh, M.D.

  • Cardiovascular Disease Physician
  • Corbin, KY
National Provider Identifier
1689767543
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
36456 Issued in MI
Practice address
45 Moonbow PLZ
Corbin, KY 40701
Phone
(606) 523-9010
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 36456 KY
Cardiovascular Disease Physician 207RC0000X 36456 MI Primary

Addresses

Primary practice location

45 Moonbow PLZ
Corbin, KY 40701

Mailing address

2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4900

Other practice location 1

850 Hail Knob Rd
Suite A
Somerset, KY 42503-3418
Phone (606) 679-1189

Other practice location 2

45 Moonbow Plz
Corbin, KY 40701
Phone (606) 523-9010

Other practice location 3

850 Hail Knob Rd
Suite A
Somerset, KY 42503-3418
Phone (606) 679-1189

Other practice location 4

347 Bogle St
Somerset, KY 42503-2873
Phone (606) 451-9448

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksaleh29626@bhkydirect.com

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
I20050426000666 KY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2961397617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
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)

1 Trillium Way
MTM/DSM
Corbin, KY 40701-8727
Phone (606) 526-4647

15 Moonbow PLZ
Corbin, KY 40701-8949
Phone (606) 528-5331

1700 Nicholasville Rd
Lexington, KY 40503-1431

347 Bogle St
Somerset, KY 42503-2873
Phone (606) 451-9448

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

45 Moonbow PLZ
Corbin, KY 40701-8949
Phone (606) 523-9010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36456KYMDSpecialist
36456MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Hospital, LLC CurrentSince Jul 19, 2004 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2020 Accepting new patients
Lake Cumberland Regional Hospital LLC Current Accepting new patients
Lake Cumberland Regional Hospital LLC CurrentSince Jul 19, 2004 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2020 Accepting new patients
Somerset Cardiology Past Accepting new patients
Southeast Kentucky Clinic Specialist Past Accepting new patients
Somerset Cardiology Specialist Past Accepting new patients

Locations

45 Moonbow Plz
Corbin, KY 40701
Phone (606) 523-9010

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

353 Bogle St
Ste A
Somerset, KY 42503
Phone (606) 451-3820

350 Hospital Way
Ste 100
Somerset, KY 42503
Phone (606) 451-2600

347 Bogle St
Somerset, KY 42503
Phone (606) 451-9448

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

Organizations & group practices 8

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 5

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1689767543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 STANLEY GAULT PKWY STE 129",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235176",
            "telephone_number": "502-253-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MOONBOW PLZ",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "40701",
            "telephone_number": "606-523-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Hail Knob Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425033418",
            "country_code": "US",
            "telephone_number": "606-679-1189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Moonbow Plz",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "40701",
            "country_code": "US",
            "telephone_number": "606-523-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Hail Knob Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425033418",
            "country_code": "US",
            "telephone_number": "606-679-1189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "347 Bogle St",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425032873",
            "country_code": "US",
            "telephone_number": "606-451-9448",
            "fax_number": "606-451-9450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALEH",
        "first_name": "KHALED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "36456",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "36456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksaleh29626@bhkydirect.com",
            "affiliation": "N",
            "address_1": "45 Moonbow Plz",
            "city": "Corbin",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.