JAD BALLOUT MD
NPI 1356863658
Internal Medicine - Clinical Cardiac Electrophysiology in Lexington, KY

Active since July 09, 2017PECOS Enrolled
1720 NICHOLASVILLE RD STE 400, LEXINGTON, KY 40503(859) 277-5887(859) 276-7659 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 11, 2026, Jul 21, 2022, Jun 14, 2020 and 1 more (4 updates tracked since 2017).

About Jad Ballout Md NPPES

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

JAD BALLOUT MD (NPI 1356863658) is an individual clinical cardiac electrophysiology provider in Lexington, Kentucky, licensed in Kentucky (53983) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356863658
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameJAD BALLOUTCredential: MD
Location Address1720 NICHOLASVILLE RD STE 400Lexington, KY 40503-1475
Mailing Address1720 Nicholasville Rd Ste 400Lexington, KY 40503-1475 · (859) 277-5887 · Fax (859) 276-7659
Fax(859) 276-7659
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 9, 2017
Last NPPES UpdateMay 11, 20264 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
NPI 1356863658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in KY · 53983
Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

1720 NICHOLASVILLE RD STE 400, Lexington, KY 40503

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jad Ballout Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587930441
PECOS Enrollment IDI20260518003367
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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.

Other Providers at the Same Location NPPES 16

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

Internal Medicine (Cardiovascular Disease)
1720 NICHOLASVILLE RD STE 400
LEXINGTON, KY 40503
Internal Medicine (Interventional Cardiology)
1720 NICHOLASVILLE RD STE 400
LEXINGTON, KY 40503
Nurse Practitioner (Family)
1720 NICHOLASVILLE RD STE 400
LEXINGTON, KY 40503
Nurse Practitioner (Family)
1720 NICHOLASVILLE RD STE 400
LEXINGTON, KY 40503
Nurse Practitioner (Gerontology)
1720 NICHOLASVILLE RD STE 400
LEXINGTON, KY 40503
Internal Medicine (Cardiovascular Disease)
1720 NICHOLASVILLE RD STE 400
LEXINGTON, KY 40503
Internal Medicine (Clinical Cardiac Electrophysiology)
1720 NICHOLASVILLE RD STE 400
LEXINGTON, KY 40503
Internal Medicine (Interventional Cardiology)
1720 NICHOLASVILLE RD STE 400
LEXINGTON, KY 40503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356863658, enumerated as an "individual" on July 09, 2017.

The provider is located at 1720 NICHOLASVILLE RD STE 400 LEXINGTON, KY 40503 and the phone number is (859) 277-5887.

Internal Medicine with taxonomy code 207RC0001X and a focus in Clinical Cardiac Electrophysiology.