NPIMap

Individual provider Active NPI

Ibrahim Fahsah, MD

  • Interventional Cardiology Physician
  • Louisville, KY
National Provider Identifier
1902846157
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
32990 Issued in KY
Practice address
201 Abraham Flexner Way Ste 903
Louisville, KY 40202-3832
Phone
(502) 916-1055
NPI assigned
Jun 7, 2006
Last updated
May 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32990 KY
Internal Medicine Physician 207R00000X 32990 KY
Cardiovascular Disease Physician 207RC0000X 32990 KY
Interventional Cardiology Physician 207RI0011X 32990 KY Primary

Addresses

Primary practice location

201 Abraham Flexner Way Ste 903
Louisville, KY 40202-3832

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 916-1055

Other identifiers 10

IdentifierTypeStateIssuer
108285OtherKYANTHEM- CTS
64329907MedicaidKY
50019752OtherKYPASSPORT
50031678OtherKYPASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE
P00468647OtherKYRAILROAD MEDICARE
200122110MedicaidIN
353176400OtherKYPASSPORT ADVANTAGE
5151604OtherKYAETNA- CTS
P00924103OtherKYRAILROAD MEDICARE- CTS
000057094OOtherKYHUMANA- CTS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ifahsah14015@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20040701000469 KY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 7214914969 Reassigns benefits to 2 organizations
I20080124000052 IN Practitioner - Cardiovascular Disease (Cardiology) 7214914969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Advanced Cardiac Therapies PSCGroup PAC ID 8628464476, 2 clinicians
University of Louisville Physicians IncGroup PAC ID 3476725599, shared by 5 NPIs, 1,438 clinicians

Practice addresses (Care Compare)

200 Abraham Flexner Way
Suite 903
Louisville, KY 40202-2877
Phone (502) 916-1055

201 Abraham Flexner Way
Suite 903
Louisville, KY 40202-3832
Phone (502) 367-4500

213 Hunter Station Rd
Sellersburg, IN 47172-1879
Phone (812) 248-2560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting57
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Cardiovascular Disease CurrentSince Jun 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jun 1, 2023 Accepting new patients
University of Louisville Physicians, Inc Current Accepting new patients
University of Louisville Physicians, Inc. Internal Medicine Current Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
Uofl Health-Louisville Inc Past Accepting new patients
Jackson Hospital Corporation Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

213 Hunter Station Rd
Sellersburg, IN 47172
Phone (812) 248-2560

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

200 Abraham Flexner Way
Ste 903
Louisville, KY 40202
Phone (502) 916-1055

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

201 Abraham Flexner Way
Ste 903
Louisville, KY 40202
Phone (502) 581-9223

210 E Gray St
Ste 1002
Louisville, KY 40202
Phone (502) 584-2027

210 E Gray St
Ste 803
Louisville, KY 40202
Phone (502) 238-9462

220 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 582-7400

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

908 DuPont Rd
Ste 100
Louisville, KY 40207
Phone (502) 883-3147

Interoperability endpoints

  • Direct secure messaging: ifahsah32232@uoflhealth-dm.org

Organizations & group practices 9

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 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1902846157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-916-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ABRAHAM FLEXNER WAY STE 903",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023832",
            "telephone_number": "502-916-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHSAH",
        "first_name": "IBRAHIM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "32990",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "32990",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "32990",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "32990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- CTS",
            "identifier": "108285",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64329907",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50019752",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "50031678",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00468647",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200122110",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "353176400",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA- CTS",
            "identifier": "5151604",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE- CTS",
            "identifier": "P00924103",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- CTS",
            "identifier": "000057094O",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ifahsah14015@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "210 E Gray St Ste 1002",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "210 E Gray St Ste 1002",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.