HAITEM MEZUGHI M.D.
NPI 1447649157
Internal Medicine - Critical Care Medicine in Pikeville, KY

Active since January 19, 2015PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501(606) 430-3500(606) 218-4697 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 4, 2022, Jun 22, 2021 (2 updates tracked since 2021).

About Haitem Mezughi M.d. NPPES

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

HAITEM MEZUGHI M.D. (NPI 1447649157) is an individual critical care medicine provider in Pikeville, Kentucky, licensed in Kentucky (54737) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains a secondary practice location in Huntington.

NPPES Registry Identity

NPI1447649157
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameHAITEM MEZUGHICredential: M.D.
Location Address911 BYPASS RD BLDG APikeville, KY 41501-1689
Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-3500 · Fax (606) 218-4697
Fax(606) 218-4697
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2021
Enumeration DateJanuary 19, 2015
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
NPI 1447649157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in KY · 54737
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

911 BYPASS RD BLDG A, Pikeville, KY 41501

Secondary Practice Location 1

Location 11249 15th St, Suite 2000Huntington, WV 25701-3662 · Phone (304) 691-1000 · Fax (304) 691-1693

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

Haitem Mezughi 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 ID6103142211
PECOS Enrollment IDI20210903002490
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
187 services55 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.
51 services48 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.
27 services25 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
26 services26 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
25 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180069
Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County
Emergency services

Buchanan General Hospital

Acute Care Hospitals · Grundy, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490127
Location1535 Slate Creek RoadGrundy, VA 24614 · Buchanan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.39
Promoting Interoperability100
Improvement Activities40
Cost70.65

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.

Emergency Medicine
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Internal Medicine
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Nurse Practitioner
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Physician Assistant
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Urology
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Physician Assistant
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Surgery
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Physician Assistant
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447649157, enumerated as an "individual" on January 19, 2015.

The provider is located at 911 BYPASS RD BLDG A PIKEVILLE, KY 41501 and the phone number is (606) 430-3500.

Internal Medicine with taxonomy code 207RC0200X and a focus in Critical Care Medicine.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.

Haitem Mezughi is affiliated with: PIKEVILLE MEDICAL CENTER, TUG VALLEY ARH REGIONAL MEDICAL CENTER and BUCHANAN GENERAL HOSPITAL.