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FAIZAN BABAR M.D.
NPI 1477966935
Internal Medicine - Nephrology in Lexington, KY

Active since June 03, 2014PECOS EnrolledAccepts Medicare Assignment
84.89/100
CMS Quality Rating
1401 HARRODSBURG RD STE C335, LEXINGTON, KY 40504(859) 276-5355(859) 277-1843 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Faizan Babar M.d. NPPES

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

FAIZAN BABAR M.D. (NPI 1477966935) is an individual nephrology provider in Lexington, Kentucky, licensed in Kentucky (52199) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1477966935
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameFAIZAN BABARCredential: M.D.
Location Address1401 HARRODSBURG RD STE C335Lexington, KY 40504-1791
Mailing Address1401 Harrodsburg Rd Ste C335Lexington, KY 40504-1791 · (859) 276-5355 · Fax (859) 277-1843
Phone(859) 276-5355
Fax(859) 277-1843
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 3, 2014
Last NPPES UpdateMay 8, 2019
✔ NPI 1477966935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in KY · 52199
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License XXXXXXXXXXXXXXXX (MD)
1401 HARRODSBURG RD STE C335, Lexington, KY 40504
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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

Faizan Babar 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 ID8022233865
PECOS Enrollment IDI20190528000385
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 10

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.

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.
629 services211 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.
367 services255 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.
159 services88 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.
109 services99 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
96 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
83 services61 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY
OwnershipProprietary
CMS Certification Number180101
Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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.

84.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.94
Improvement Activities40
Cost54.67

Other Providers at the Same Location NPPES 3

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

HAMMAD SIDDIQUI M.D
Internal Medicine (Nephrology)
1401 HARRODSBURG RD STE C335
LEXINGTON, KY 40504
Fayette County (859) 278-2575
MUHAMMAD IRFAN ATIQ M.D
Internal Medicine (Nephrology)
1401 HARRODSBURG RD STE C335
LEXINGTON, KY 40504
Fayette County (859) 276-5355
DANIYAL SAEED MD
Internal Medicine (Nephrology)
1401 HARRODSBURG RD STE C335
LEXINGTON, KY 40504
Fayette County (859) 276-5355

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 Faizan Babar's NPI number?

The NPI number for Faizan Babar is 1477966935. It was assigned to this individual provider in the NPPES registry on June 3, 2014.

Where is Faizan Babar located?

Faizan Babar practices at 1401 Harrodsburg Rd Ste C335, Lexington, KY 40504. The listed phone number is (859) 276-5355.

What is Faizan Babar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Faizan Babar enrolled in Medicare?

Yes. Faizan Babar 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 Faizan Babar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Faizan Babar 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 Faizan Babar affiliated with any hospitals?

According to CMS data, Faizan Babar is affiliated with Saint Joseph Hospital, Baptist Health Richmond, Georgetown Community Hospital, Baptist Health Lexington and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Faizan Babar was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.