Active NPI
Waleed Fouad Mourad, M.D
- Radiation Oncology Physician
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 01093324A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01093324A | IN | MD | Radiation Oncology Physician |
| 51914 | KY | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current | Accepting new patients | |
| St. Mary'S Health, Inc | Current | Accepting new patients | |
| St. Mary'S Health, Inc | Radiation Oncology | Current | Accepting new patients |
| St Mary'S Medical Group, LLC | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| St Mary'S Medical Group, LLC | Current | Accepting new patients | |
| University of Kentucky | Current | Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Radiation Oncology | Current | Accepting new patients |
| Appalachian Regional Healthcare, Inc. | Current | 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
- 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.
-
- Family Medicine Physician
- Evansville, IN
- NPI 1164852539
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Radiation Oncology
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1497706287
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
-
- Nephrology Physician
- Evansville, IN
- NPI 1619307873
-
- Hematology & Oncology Physician
- Newburgh, IN
- NPI 1952101214
Radiation Oncology
-
- Community/Retail Pharmacy
- Cumberland, KY
- NPI 1710870811
-
- Anatomic Pathology & Clinical Pathology Physician
- Hazard, KY
- NPI 1780728881
-
- Multi-Specialty Clinic/Center
- Hazard, KY
- NPI 1558431346
-
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.