YARED BERHANU HAILEMARIAM M.D.
NPI 1164718466
Internal Medicine - Cardiovascular Disease in Louisville, KY

Active since June 24, 2011PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
3900 KRESGE WAY STE 60, LOUISVILLE, KY 40207(502) 893-7710(502) 893-1391 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2020, Jan 15, 2020, May 15, 2019 (3 updates tracked since 2019).

About Yared Berhanu Hailemariam M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YARED BERHANU HAILEMARIAM M.D. (NPI 1164718466) is an individual cardiovascular disease provider in Louisville, Kentucky, licensed in Kentucky (48993) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1164718466
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameYARED BERHANU HAILEMARIAMCredential: M.D.
Location Address3900 KRESGE WAY STE 60Louisville, KY 40207-4690
Mailing Address5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182 · (502) 253-4924 · Fax (502) 489-5750
Fax(502) 893-1391
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJune 24, 2011
Last NPPES UpdateDecember 9, 20203 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
NPI 1164718466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in KY · 48993
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

3900 KRESGE WAY STE 60, Louisville, KY 40207

Other Identifiers 1

Other48993KY · Medical License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Yared Berhanu Hailemariam M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749401883
PECOS Enrollment IDI20190621001515
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 31

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
629 services623 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
590 services395 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
330 services275 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
223 services152 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
211 services209 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
204 services202 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
3900 KRESGE WAY STE 60
LOUISVILLE, KY 40207
Nurse Practitioner
3900 KRESGE WAY STE 60
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
3900 KRESGE WAY STE 60
LOUISVILLE, KY 40207
Internal Medicine (Cardiovascular Disease)
3900 KRESGE WAY STE 60
LOUISVILLE, KY 40207
Internal Medicine (Clinical Cardiac Electrophysiology)
3900 KRESGE WAY STE 60
LOUISVILLE, KY 40207
Nurse Practitioner (Acute Care)
3900 KRESGE WAY STE 60
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
3900 KRESGE WAY STE 60
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
3900 KRESGE WAY STE 60
LOUISVILLE, KY 40207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yared Hailemariam's NPI number?

The NPI number for Yared Hailemariam is 1164718466. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Where is Yared Hailemariam located?

Yared Hailemariam practices at 3900 Kresge Way Ste 60, Louisville, KY 40207. The listed phone number is (502) 893-7710.

What is Yared Hailemariam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Yared Hailemariam enrolled in Medicare?

Yes. Yared Hailemariam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Yared Hailemariam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Texas and 1 other insurer list Yared Hailemariam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Yared Hailemariam affiliated with any hospitals?

According to CMS data, Yared Hailemariam is affiliated with Baptist Health Hardin, Norton Hospitals, Inc, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Yared Hailemariam was last updated on December 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.