LAYLA NADIR AL-SHAMI ARNP
NPI 1255483558
Nurse Practitioner - Adult Health in Louisville, KY

Active since January 17, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
825 BARRET AVE, LOUISVILLE, KY 40204(502) 540-7200(502) 540-7210 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2022, Oct 12, 2020, Sep 28, 2020 and 2 more (5 updates tracked since 2020).

About Layla Nadir Al-shami Arnp NPPES

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

LAYLA NADIR AL-SHAMI ARNP (NPI 1255483558) is an individual adult health provider in Louisville, Kentucky, licensed in Kentucky (3004741) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and maintains a secondary practice location in Fairdale.

NPPES Registry Identity

NPI1255483558
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLAYLA NADIR AL-SHAMICredential: ARNP
Location Address825 BARRET AVELouisville, KY 40204-1743
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 559-9295 · Fax (502) 272-5339
Fax(502) 540-7210
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 2005
Enumeration DateJanuary 17, 2007
Last NPPES UpdateMay 18, 20225 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
NPI 1255483558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in KY · 3004741 Licensed in KY · 4741P
825 BARRET AVE, Louisville, KY 40204

Secondary Practice Location 1

Location 1405 Mount Holly RdFairdale, KY 40118-9001 · Phone (502) 375-9752

Other Identifiers 1

Medicaid7100597450KY

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

Layla Nadir Al-shami Arnp 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 ID3173860418
PECOS Enrollment IDI20190221001903
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 8

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
154 services85 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.
148 services83 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
62 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services39 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services28 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40204 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers24 claims102 services$5.55 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$62.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Internal Medicine
825 BARRET AVE
LOUISVILLE, KY 40204
Internal Medicine
825 BARRET AVE
LOUISVILLE, KY 40204
Family Medicine
825 BARRET AVE
LOUISVILLE, KY 40204
Dietitian, Registered
825 BARRET AVE
LOUISVILLE, KY 40204
Internal Medicine
825 BARRET AVE
LOUISVILLE, KY 40204
Family Medicine
825 BARRET AVE
LOUISVILLE, KY 40204
Internal Medicine
825 BARRET AVE
LOUISVILLE, KY 40204
Physician Assistant (Medical)
825 BARRET AVE
LOUISVILLE, KY 40204

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 Layla Al-shami's NPI number?

The NPI number for Layla Al-shami is 1255483558. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Layla Al-shami located?

Layla Al-shami practices at 825 Barret Ave, Louisville, KY 40204. The listed phone number is (502) 540-7200.

What is Layla Al-shami's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Layla Al-shami enrolled in Medicare?

Yes. Layla Al-shami 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 Layla Al-shami accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Layla Al-shami 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 Layla Al-shami affiliated with any hospitals?

According to CMS data, Layla Al-shami is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Layla Al-shami was last updated on May 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.