Individual provider Active NPI

Siham Shamy Nabil, ARNP

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1699435529
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1134497 Issued in KY
Practice address
2215 Portland Ave
Louisville, KY 40212-1033
Phone
(502) 774-8631
NPI assigned
Dec 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016742 KY
Nurse Practitioner 363L00000X 1134497 KY Primary

Addresses

Primary practice location

2215 Portland Ave
Louisville, KY 40212-1033

Mailing address

PO Box 950244
Louisville, KY 40295-0244
Phone (502) 953-4700

Other names 1

  • Siham Shamy Nabil Professional 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113001701 KY Practitioner - Nurse Practitioner 5799177234 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oldham County Emergency Physicians, LLCGroup PAC ID 3072094614, 37 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1025 New Moody LN
La Grange, KY 40031-9154
Phone (502) 222-5388

1850 Bluegrass Ave
Louisville, KY 40215-1199
Phone (502) 361-6000

648 University Shopping Ctr
Richmond, KY 40475-2614
Phone (859) 623-0535

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1134497KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Jul 3, 2023 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients
Oldham County Emergency Physicians, LLC CurrentSince Feb 15, 2026 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

96 Future Dr
Corbin, KY 40701

1111 Ring Rd
Ste 1
Elizabethtown, KY 42701

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

2108 Nicholasville Rd
Ste 100
Lexington, KY 40503
Phone (859) 278-9413

2400 Eastpoint Pkwy
Ste 100
Louisville, KY 40223
Phone (502) 210-4700

3215 Westport Green Pl
Louisville, KY 40241
Phone (502) 412-1112

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

2232 Holiday Manor Ctr
Louisville, KY 40222
Phone (502) 339-0096

10216 Taylorsville Rd
Ste 150
Louisville, KY 40299
Phone (502) 297-8900

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617

610 E Brannon Rd
Ste 100
Nicholasville, KY 40356
Phone (859) 260-5540

1360 Rogersville Rd
Radcliff, KY 40160
Phone (270) 351-1150

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

101 Stonecrest Rd
Ste 1
Shelbyville, KY 40065
Phone (502) 633-2233

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 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": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1699435529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950244",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950244",
            "telephone_number": "502-953-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 PORTLAND AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402121033",
            "telephone_number": "502-774-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABIL",
        "first_name": "SIHAM",
        "middle_name": "SHAMY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016742",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "1134497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIHAM",
            "last_name": "NABIL",
            "middle_name": "SHAMY",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.