Mumen Ayyat, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

59097 Issued in KY

Practice address

420 Hopkinsville St
Greenville, KY 42345-1102

Phone

(270) 377-2440

NPI assigned

Jun 4, 2019

Reactivated

Jan 27, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Owensboro Health Medical Group Inc

  • Surgery Physician
  • Greenville, KY
  • NPI 1235518242

  KY, Surgery

  Medicare reassignment Care Compare group NPD
• Owensboro Health Medical Group, Inc

  • Family Medicine Physician
  • Owensboro, KY
  • NPI 1376594242
  Care Compare group NPD (past)
• Owensboro Health Medical Group, Inc

  • Clinical Medical Laboratory
  • Madisonville, KY
  • NPI 1043343536
  Care Compare group
• Owensboro Health Medical Group, Inc

  • Rural Health Clinic/Center
  • Beaver Dam, KY
  • NPI 1194161984
  Care Compare group
• Owensboro Health Medical Group, Inc.

  • Clinical Medical Laboratory
  • Henderson, KY
  • NPI 1609374693
  Care Compare group
• Owensboro Health Medical Group Inc

  • Internal Medicine Physician
  • Owensboro, KY
  • NPI 1306700711
  NPD
• Owensboro Health Medical Group Inc

  • Family Medicine Physician
  • Greenville, KY
  • NPI 1891158119
  NPD
• Oh Muhlenberg, LLC

  • General Acute Care Hospital
  • Greenville, KY
  • NPI 1407800436
  NPD (past)

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

• Oh Muhlenberg, LLC

  • General Acute Care Hospital
  • Greenville, KY
  • NPI 1407800436

  Hospital

  Care Compare affiliation
• Oh Muhlenberg, LLC

  • Pulmonary Disease Physician
  • Greenville, KY
  • NPI 1992001044

  Hospital

  Care Compare affiliation
• Owensboro Health Inc

  • General Acute Care Hospital
  • Owensboro, KY
  • NPI 1285613612

  Hospital

  Care Compare affiliation
• Owensboro Health Twin Lakes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Leitchfield, KY
  • NPI 1285221416

  Hospital

  Care Compare affiliation

Specialty

General Surgery

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Owensboro Health Medical Group Inc 455 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Owensboro Health Muhlenberg Community Hospital Hospital, Greenville, KY, CCN 180004
• Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
• Owensboro Health Twin Lakes Medical Center Hospital, Leitchfield, KY, CCN 180070

Procedures performed for Medicare patients

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1962060921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 WEST NELSON STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-975-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451102",
            "telephone_number": "270-377-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 S Main St",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424312846",
            "country_code": "US",
            "telephone_number": "270-821-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 West Wellington Ave",
            "address_2": "Advocate Illinois Masonic Medical Center",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60657",
            "country_code": "US",
            "telephone_number": "773-975-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYYAT",
        "first_name": "MUMEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "deactivation_date": "2020-01-17",
        "reactivation_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "59097",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alligatorfish Emergency Physicians LLC
• Kristen Leshae Arbuckle, MSN-CRNA
• Jason Louis Armstrong, PTA
• April Michelle Ashby, PMHNP-BC
• Landon Atcher
• Drew Barricklow
• Beechmont Pharmacy Inc
• Beechmont Pharmacy, Inc
• Beechmont Pharmacy, Inc.
• Amber Michelle Beegle

• All providers in Greenville, KY
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.