NPIMap

Individual provider Active NPI

Hisham A Alrefai, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Louisville, KY
National Provider Identifier
1811962350
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
37214 Issued in KY
Practice address
9720 Park Plaza Ave Unit 104
Louisville, KY 40241-2289
Phone
(502) 895-8218
Fax
(502) 895-8219
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01055359A IN
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 37214 KY Primary

Addresses

Primary practice location

9720 Park Plaza Ave Unit 104
Louisville, KY 40241-2289

Mailing address

9720 Park Plaza Ave Unit 104
Louisville, KY 40241-2289
Phone (502) 895-8218

Other practice location 1

1230 Woodland Dr Ste 208
Elizabethtown, KY 42701-2792
Phone (502) 895-8218

Other identifiers 6

IdentifierTypeStateIssuer
149327OtherKYSIHO - NCMA
50053026OtherMAPASSPORT - NCMA
000000831435OtherKYANTHEM - NCMA
200385521MedicaidIN
64055395MedicaidKY
940540SSSSOtherINLEGACY MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130821000479 KY Practitioner - Internal MedicinePractitioner - Endocrinology 3173591609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1311 Ring Rd
Suite 103
Elizabethtown, KY 42701-8941
Phone (502) 895-8218

9720 Park Plaza Ave
Unit 104
Louisville, KY 40241-2289
Phone (502) 895-8218

Hospital & facility affiliations

  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Owensboro Health Twin Lakes Medical Center Hospital, Leitchfield, KY, CCN 180070
  • Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Breckinridge Memorial Hospital Hospital, Hardinsburg, KY, CCN 181319

Merit-based Incentive Payment System (MIPS)

Final score
92.9 of 100Reported as group
Quality
85.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
19.03 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37214KYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Physician Group LLC Endocrinology, Diabetes & Metabolism Past Accepting new patients
Norton Scott Hospital, LLC Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Central Medical Associates PLLC Internal Medicine PastSince Sep 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
Vascular Interventional & Pain Clinic-Vip Clinic-Vip Imaging Cen Past Accepting new patients

Organizations & group practices 8

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 9

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1811962350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 PARK PLAZA AVE UNIT 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412289",
            "telephone_number": "502-895-8218",
            "fax_number": "502-895-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 PARK PLAZA AVE UNIT 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412289",
            "telephone_number": "502-895-8218",
            "fax_number": "502-895-8219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Woodland Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427012792",
            "country_code": "US",
            "telephone_number": "502-895-8218",
            "fax_number": "502-895-8219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALREFAI",
        "first_name": "HISHAM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01055359A",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "37214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO - NCMA",
            "identifier": "149327",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT - NCMA",
            "identifier": "50053026",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NCMA",
            "identifier": "000000831435",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200385521",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64055395",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY MEDICARE",
            "identifier": "940540SSSS",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.