NPIMap

Individual provider Active NPI

Jacques Joseph Youssef, M.D.

  • Nephrology Physician
  • Murray, KY
National Provider Identifier
1699963835
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
48362 Issued in KY
Practice address
300 S 8TH St
282W
Murray, KY 42071-2400
Phone
(270) 538-5880
NPI assigned
Oct 12, 2007
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35.121819 OH
Specialist 174400000X 10820 ND
Nephrology Physician 207RN0300X 48362 KY Primary

Addresses

Primary practice location

300 S 8TH St
282W
Murray, KY 42071-2400

Mailing address

300 S 8TH St
282W
Murray, KY 42071-2400
Phone (270) 538-5880

Other identifiers 1

IdentifierTypeStateIssuer
48362OtherKYSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 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
I20150722005912 KY Practitioner - Nephrology 9537231469 Reassigns benefits to 1 organization
I20190320000056 TN Practitioner - Nephrology 9537231469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Specialists of Paducah PLLCGroup PAC ID 1557605649, 9 clinicians

Practice addresses (Care Compare)

1215 Johnson Blvd
Murray, KY 42071-2957
Phone (270) 538-5880

1323 E Wood St
Suite 400
Parist, TN 38242-4018
Phone (270) 538-5880

1532 Lone Oak Rd
Suite 315
Paducah, KY 42003-7942
Phone (270) 538-5880

2484 Main St
Cadiz, KY 42211-6000
Phone (270) 538-5880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.69 of 100Reported as group
Quality
87.4
Improvement activities
40
Cost
82.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10820NDMDSpecialist
35.121819OHMDSpecialist
48362KYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Nephrology Care LTD. Nephrology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Jamal Azem, M.D., Inc Specialist PastSince Dec 7, 2005 Accepting new patients

Organizations & group practices 4

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 10

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": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1699963835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST",
            "address_2": "282W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712400",
            "telephone_number": "270-538-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST",
            "address_2": "282W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712400",
            "telephone_number": "270-538-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "JACQUES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-12",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35.121819",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ND",
            "license": "10820",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "48362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "48362",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.