NPIMap

Individual provider Active NPI

Hussam N. Hamdalla, MD

  • Interventional Cardiology Physician
  • Lexington, KY
National Provider Identifier
1871527804
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
37239 Issued in KY
Practice address
1401 Harrodsburg Rd
Lexington, KY 40504-3751
Phone
(859) 276-4429
Fax
(859) 276-5919
NPI assigned
Jul 10, 2006
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 37239 KY
Interventional Cardiology Physician 207RI0011X 37239 KY Primary

Addresses

Primary practice location

1401 Harrodsburg Rd
Lexington, KY 40504-3751

Mailing address

PO Box 936
London, KY 40743-0936

Other practice location 1

102 Citation Dr
Danville, KY 40422-9216
Phone (859) 236-6621

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
I20061020000101 KY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7012913775 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1250 Keene Rd
Suite 102
Nicholasville, KY 40356-7600
Phone (859) 887-6850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting22
Pacemaker insertion or repair1-10
Varicose vein removal11
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37239KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Cardiovascular Disease CurrentSince Feb 1, 2023 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Dec 29, 2012 Accepting new patients
Ephraim McDowell H Ealth Resource,Inc CurrentSince Dec 29, 2012 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated CurrentSince Jul 23, 2019 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated CurrentSince Jul 23, 2019 Accepting new patients
Ephraim McDowell Health Resource, Inc. Past Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

102 Citation Dr
Danville, KY 40422
Phone (859) 236-6621

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

1250 Ben Ali Dr
Danville, KY 40422
Phone (859) 236-0903

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

216 W Walnut St
Ste B
Danville, KY 40422
Phone (859) 239-4840

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

62 Westridge Dr
Danville, KY 40422
Phone (859) 755-4854

1401 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 258-6784

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

1025 Saint Joseph Ln
London, KY 40741
Phone (606) 330-2370

1250 Keene Rd
#102
Nicholasville, KY 40356
Phone (859) 885-9402

5130 Parkway Plaza Blvd
Charlotte, NC 28217

Interoperability endpoints

  • Direct secure messaging: hhamdalla317243@direct.stlukeshealth.org

Organizations & group practices 7

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 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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1871527804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-276-4429",
            "fax_number": "859-276-5919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Citation Dr",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404229216",
            "country_code": "US",
            "telephone_number": "859-236-6621",
            "fax_number": "859-236-6620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMDALLA",
        "first_name": "HUSSAM",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "37239",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "37239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.