NPIMap

Individual provider Active NPI

Sajjad Jameel, MD

  • Pulmonary Disease Physician
  • Louisville, KY
National Provider Identifier
1770516387
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
39870 Issued in KY
Practice address
1015 Dupont Rd
Louisville, KY 40207-4610
Phone
(502) 883-0227
Fax
(502) 410-0484
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39870 KY
Internal Medicine Physician 207R00000X ME103244 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 39870 KY
Pulmonary Disease Physician 207RP1001X 39870 KY Primary

Addresses

Primary practice location

1015 Dupont Rd
Louisville, KY 40207-4610

Mailing address

PO Box 22377
Louisville, KY 40252-0377
Phone (502) 883-0227

Other identifiers 2

IdentifierTypeStateIssuer
64124167MedicaidKY
201017580MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 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
I20070212000647 KY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9638171176 Reassigns benefits to 1 organization
I20160810000439 KY Practitioner - Pulmonary DiseasePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists) 9638171176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Lung Care PLLCGroup PAC ID 5496910143, 8 clinicians

Practice addresses (Care Compare)

1015 Dupont Rd
Louisville, KY 40207-4610
Phone (502) 883-0227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
38.47 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
57.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME103244FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Lung Care PLLC Pulmonary Disease CurrentSince Jul 1, 2016 Accepting new patients
Cogent Healthcare of Kentucky, PSC Internal Medicine Past Accepting new patients
North Florida Gastroenterology LLC Past Accepting new patients
North Florida Acute Care Specialists LLC Internal Medicine PastSince Feb 1, 2009 Accepting new patients

Locations

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

3999 Dutchmans Ln
Ste 2F
Louisville, KY 40207
Phone (502) 883-0227

1015 DuPont Rd
Louisville, KY 40207
Phone (502) 883-0227

1313 Saint Anthony Pl
Louisville, KY 40204
Phone (502) 587-7001

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 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1770516387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22377",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402520377",
            "telephone_number": "502-883-0227",
            "fax_number": "502-416-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 DUPONT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074610",
            "telephone_number": "502-883-0227",
            "fax_number": "502-410-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMEEL",
        "first_name": "SAJJAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "39870",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME103244",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "39870",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "39870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64124167",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201017580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.