DR. ZAKARIA SIBAI MD
NPI 1346763331
Internal Medicine - Endocrinology, Diabetes & Metabolism in Louisville, KY

Active since July 21, 2017PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
401 E CHESTNUT ST UNIT 310, LOUISVILLE, KY 40202(502) 588-4600 Get Directions Write a Review

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

Record update history: Apr 26, 2022, Jul 31, 2020, Apr 3, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Zakaria Sibai Md NPPES

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

DR. ZAKARIA SIBAI MD (NPI 1346763331) is an individual endocrinology, diabetes & metabolism provider in Louisville, Kentucky, licensed in Kentucky (53512) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1346763331
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. ZAKARIA SIBAICredential: MD
Location Address401 E CHESTNUT ST UNIT 310Louisville, KY 40202-5703
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-4600
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 21, 2017
Last NPPES UpdateApril 26, 20224 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
NPI 1346763331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in KY · 53512
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 53512 (KY)
401 E CHESTNUT ST UNIT 310, Louisville, KY 40202

Other Identifiers 1

Medicaid7100680390KY

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

Dr. Zakaria Sibai Md 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 ID6305261595
PECOS Enrollment IDI20220630001956, I20251120001697
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.

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.
120 services59 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.
106 services46 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
69 services32 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
54 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services33 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Uchicago Medicine Adventhealth Bolingbrook

Acute Care Hospitals · Bolingbrook, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140304
Location500 Remington BoulevardBolingbrook, IL 60440 · Will County
Emergency services Birthing friendly

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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.

Internal Medicine (Cardiovascular Disease)
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Internal Medicine
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Internal Medicine
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Internal Medicine
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Family Medicine (Hospice and Palliative Medicine)
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Internal Medicine (Endocrinology, Diabetes & Metabolism)
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Internal Medicine (Interventional Cardiology)
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202
Internal Medicine (Infectious Disease)
401 E CHESTNUT ST UNIT 310
LOUISVILLE, KY 40202

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 Zakaria Sibai's NPI number?

The NPI number for Zakaria Sibai is 1346763331. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Zakaria Sibai located?

Zakaria Sibai practices at 401 E Chestnut St Unit 310, Louisville, KY 40202. The listed phone number is (502) 588-4600.

What is Zakaria Sibai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Zakaria Sibai enrolled in Medicare?

Yes. Zakaria Sibai 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 Zakaria Sibai accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee and 1 other insurer list Zakaria Sibai 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 Zakaria Sibai affiliated with any hospitals?

According to CMS data, Zakaria Sibai is affiliated with Adventist La Grange Memorial Hospital, Adventist Hinsdale Hospital, Uchicago Medicine Adventhealth Bolingbrook, Jewish Hospital & St Mary's Healthcare and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Zakaria Sibai was last updated on April 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.