Individual provider Active NPI

Sophia T Haleem, D.O.

  • Emergency Medicine Physician
  • Ashland, KY
National Provider Identifier
1952334997
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
02878 Issued in KY
Practice address
2201 Lexington Ave
Ashland, KY 41101-2843
Phone
(606) 327-4000
Fax
(260) 407-8004
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.012480 OH
Emergency Medicine Physician 207P00000X 02878 KY Primary

Addresses

Primary practice location

2201 Lexington Ave
Ashland, KY 41101-2843

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Other practice location 1

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

Other identifiers 2

IdentifierTypeStateIssuer
64099542OtherINRAIL ROAD
64099542MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, WV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050330000033 KY Practitioner - Emergency Medicine 7416903760 Reassigns benefits to 5 organizations
I20161024002140 OH Practitioner - Emergency Medicine 7416903760 Reassigns benefits to 4 organizations
I20161109001615 WV Practitioner - Emergency Medicine 7416903760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied West Virginia Emergency Physicians PLLCGroup PAC ID 8325326648, 7 clinicians

Practice addresses (Care Compare)

2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 526-1111

Hospital & facility affiliations

  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007
  • Adams County Regional Medical Center Hospital, Seaman, OH, CCN 361326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.012480OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Racine Observation Medical Group, PLLC Emergency Medicine CurrentSince Jun 24, 2017 Accepting new patients
Floyd Emergency Group, LLC Emergency Medicine CurrentSince Jul 31, 2020 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Allied West Virginia Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 20, 2016 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 31, 2025 Accepting new patients
Combs Mountain Emergency Group, LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Valley Emergency Physicians Ohio LLC Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Epmg of Ohio Inc P a Emergency Medicine CurrentSince Dec 1, 2016 Accepting new patients
Yatesville Emergency Group, LLC Emergency Medicine CurrentSince Oct 17, 2020 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients
Emergency Medicine Physicians of Kanawha County, PLLC Emergency Medicine Past Accepting new patients

Locations

1000 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 833-2273

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

2485 Highway 644
Louisa, KY 41230
Phone (606) 638-1154

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

625 James Trimble Blvd
Paintsville, KY 41240

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

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.

Hospital & facility affiliations 2

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1952334997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 LEXINGTON AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012843",
            "telephone_number": "606-327-4000",
            "fax_number": "260-407-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042701",
            "country_code": "US",
            "telephone_number": "859-258-4000",
            "fax_number": "859-258-6203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEEM",
        "first_name": "SOPHIA",
        "middle_name": "T",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.012480",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "02878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "64099542",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64099542",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.