Individual provider Active NPI

Waleed Fouad Mourad, M.D

  • Radiation Oncology Physician
  • Newburgh, IN
National Provider Identifier
1710120548
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
01093324A Issued in IN
Practice address
3699 Epworth Rd
Newburgh, IN 47630-8909
Phone
(812) 471-1200
NPI assigned
Apr 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 51914 KY
Radiation Oncology Physician 2085R0001X 072363 GA
Radiation Oncology Physician 2085R0001X 01093324A IN Primary

Addresses

Primary practice location

3699 Epworth Rd
Newburgh, IN 47630-8909

Mailing address

975 E. Third Street
Attn: Provider Enrollment
Chattanooga, TN 37403
Phone (423) 490-9080

Other practice location 1

University Of Kentucky 800 Rose Street
Lexington, KY 40536-0001
Phone (859) 257-7618

Other practice location 2

110 Medical Center Dr
Hazard, KY 41701-9421
Phone (606) 487-7902

Other practice location 3

975 E. Third Street
Suite #G
Chattanooga, TN 37403
Phone (423) 490-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, KY, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20140909002040 GA Practitioner - Radiation Oncology 0749409530 Reassigns benefits to 1 organization
I20170327001483 TN Practitioner - Radiation Oncology 0749409530
I20181219003637 KY Practitioner - Radiation Oncology 0749409530 Reassigns benefits to 3 organizations
I20240513002880 IN Practitioner - Radiation Oncology 0749409530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

3699 Epworth Rd
Newburgh, IN 47630-8909
Phone (812) 471-1200

800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01093324AINMDRadiation Oncology Physician
51914KYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Jun 28, 2014 Accepting new patients
St. Mary'S Health, Inc Current Accepting new patients
St. Mary'S Health, Inc Radiation Oncology CurrentSince Jun 9, 2025 Accepting new patients
St Mary'S Medical Group, LLC CurrentSince Jun 3, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 26, 2021 Accepting new patients
Au Medical Associates Inc CurrentSince Jun 28, 2014 Accepting new patients
St Mary'S Medical Group, LLC CurrentSince Jun 3, 2024 Accepting new patients
University of Kentucky CurrentSince Aug 1, 2020 Accepting new patients
Kentucky Medical Services Foundation, Inc Radiation Oncology CurrentSince Nov 9, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Jul 26, 2021 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

5927 Reliable Pkwy
Chicago, IL 60686

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

3699 Epworth Rd
Newburgh, IN 47630
Phone (812) 471-1200

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

110 Medical Center Dr
Hazard, KY 41701
Phone (606) 439-6608

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

740 S Limestone
Lexington, KY 40536
Phone (859) 257-3533

800 Rose St
Ste C114D
Lexington, KY 40536
Phone (859) 257-7618

Interoperability endpoints

  • Direct secure messaging: wmourad26785@ukhcdirect.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1710120548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E. THIRD STREET",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37403",
            "telephone_number": "423-490-9080",
            "fax_number": "423-778-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 EPWORTH RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308909",
            "telephone_number": "812-471-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Kentucky 800 Rose Street",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360001",
            "country_code": "US",
            "telephone_number": "859-257-7618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417019421",
            "country_code": "US",
            "telephone_number": "606-487-7902",
            "fax_number": "606-487-7901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 E. Third Street",
            "address_2": "Suite #G",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37403",
            "country_code": "US",
            "telephone_number": "423-490-9080",
            "fax_number": "423-778-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURAD",
        "first_name": "WALEED",
        "middle_name": "FOUAD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KY",
            "license": "51914",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "072363",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01093324A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.