1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Internal Medicine
  6. NPI Profile

SAMI EL-DALATI M.D.
NPI 1336551985
Internal Medicine - Infectious Disease in Lexington, KY

Active since May 29, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
740 S LIMESTON STE L504, LEXINGTON, KY 40536(859) 323-5544(859) 257-9288 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2021, Jun 28, 2021 (2 updates tracked since 2021).

About Sami El-dalati M.d. NPPES

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

SAMI EL-DALATI M.D. (NPI 1336551985) is an individual infectious disease provider in Lexington, Kentucky, licensed in Kentucky (55588) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1336551985
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameSAMI EL-DALATICredential: M.D.
Location Address740 S LIMESTON STE L504Lexington, KY 40536-5368
Mailing Address1500 E Medical Center Dr, 3116 Taubman Center, Spc 5368Ann Arbor, MI 48109-5368
Phone(859) 323-5544
Fax(859) 257-9288
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2014
Enumeration DateMay 29, 2014
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1336551985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in KY · 55588
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301104740 (MI)
740 S LIMESTON STE L504, Lexington, KY 40536
Open in Google Maps ↗

Secondary Practice Location 1

Location 11500 E. Medical Center Dr, 3116 Taubman Center, SPC 5368Ann Arbor, MI 48109-5368 · Phone (734) 647-6670 · Fax (734) 844-5298

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Sami El-dalati 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 ID7214226703
PECOS Enrollment IDI20210712003100
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 2

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.

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.
27 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$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

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 Sami El-dalati's NPI number?

The NPI number for Sami El-dalati is 1336551985. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Where is Sami El-dalati located?

Sami El-dalati practices at 740 S Limeston Ste L504, Lexington, KY 40536. The listed phone number is (859) 323-5544.

What is Sami El-dalati's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sami El-dalati enrolled in Medicare?

Yes. Sami El-dalati 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 Sami El-dalati accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Sami El-dalati 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 Sami El-dalati affiliated with any hospitals?

According to CMS data, Sami El-dalati is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Sami El-dalati was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.