ABI WAQAS M.D. NPI 1396988168

Internal Medicine in London, KY

NPI 1396988168 Individual Male Internal Medicine PECOS Enrolled Medicare Quality Reporting

About ABI WAQAS

Abi Waqas is an internal medicine provider established in London, Kentucky and his medical specialization is internal medicine. The NPI number of Abi Waqas is 1396988168 and was assigned on April 2009. The practitioner's primary taxonomy code is 207R00000X with license number 44217 (KY). The provider is registered as an individual and his NPI record was last updated 6 years ago.

An internist like Abi Waqas M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Abi Waqas is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Abi Waqas is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: care plan. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1396988168

Provider Name ABI WAQAS M.D.
Provider Location Address1001 SAINT JOSEPH LN LONDON, KY 40741
Provider Mailing Address4967 CROOKS RD STE 130 TROY, MI 48098
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-09-2009
Last Update Date07-29-2015


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.44217
License StateKY
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

ABI WAQAS M.D.
1001 SAINT JOSEPH LN
LONDON, KY
ZIP 40741
Phone: (606) 330-6000

Get Directions


Mailing Address

ABI WAQAS M.D.
4967 CROOKS RD
STE 130
TROY, MI
ZIP 48098
Phone: (248) 952-1601
Fax: (248) 952-1614



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 22Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Care Plan 91% 186
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699790782MS. KAY R CHAMBERLAIN CRNA
Individual
Nurse Anesthetist, Certified Registered1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6000
1619280401INFECTIOUS DISEASES OF KENTUCKY, LLC
Organization
Internal Medicine (Infectious Disease)1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6000
1699760884 LAURA ALEXIS BRANNON CRNA
Individual
Nurse Anesthetist, Certified Registered1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6000
1215133988MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES
Organization
Nurse Anesthetist, Certified Registered1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6000
1962476200 SATHYENDRA R MYSORE M.D.
Individual
Anesthesiology1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6000
1740528447 TAMI MICHELLE HENEGAR CRNA
Individual
Nurse Anesthetist, Certified Registered1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6000
1841374089 JAMES A WALKER CRNA
Individual
Nurse Anesthetist, Certified Registered1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6000
1659518165MRS. KERRIE JEAN HICKMAN PA-C
Individual
Physician Assistant1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6000
1578665964MS. REIDA A SOWDEN CRNA
Individual
Nurse Anesthetist, Certified Registered1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6000
1578838116 KEVIN A CADDELL PA
Individual
Physician Assistant1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6000
1740685064MRS. MELINDA HINKLE MS, RD, LD
Individual
Dietitian, Registered1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6868
1407806318 SHAILESH Y BHOPATKAR M.D.
Individual
Anesthesiology1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6000
1730133497MR. BART A RUDD MSN-CRNA
Individual
Nurse Anesthetist, Certified Registered1001 SAINT JOSEPH LN ANESTHESIA PROGRAM
LONDON, KY 40741
(606) 330-6000
1700130150DR. NOSHEEN JOYO M.D
Individual
Internal Medicine1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6533
1922495522TEAMHEALTH
Organization
General Acute Care Hospital1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 878-6520
1194045104 EDITH COLLETT HENSLEY FNP-BC
Individual
Nurse Practitioner1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6593
1386026110MRS. CANDICE MORGAN SHEPHERD PA-C
Individual
Physician Assistant1001 SAINT JOSEPH LN EMERGENCY ROOM
LONDON, KY 40741
(606) 330-6000
1134571961 EMILY TUGGLE RD, LD
Individual
Dietitian, Registered1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6863
1346214681DR. DEEPAK SRIVASTAVA M.D.
Individual
Anesthesiology1001 SAINT JOSEPH LN ANESTHESIA PROGRAM
LONDON, KY 40741
(606) 330-6906
1740485929DR. ALPANA SINHA M.D.
Individual
Internal Medicine1001 SAINT JOSEPH LN
LONDON, KY 40741
(606) 330-6000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.