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HAIDER SHAMSULDDIN
NPI 1528366457
Internal Medicine in Lexington, KY

Active since March 01, 2011PECOS EnrolledAccepts Medicare Assignment
1112 PARLIAMENT WAY, LEXINGTON, KY 40517(859) 489-4463 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2025, May 1, 2019 (2 updates tracked since 2019).

About Haider Shamsulddin NPPES

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

HAIDER SHAMSULDDIN (NPI 1528366457) is an individual internal medicine provider in Lexington, Kentucky, licensed in Kentucky (46899) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains a secondary practice location in Easton.

NPPES Registry Identity

NPI1528366457
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHAIDER SHAMSULDDIN
Location Address1112 PARLIAMENT WAYLexington, KY 40517-1029
Mailing Address1112 Parliament WayLexington, KY 40517-1029 · (859) 489-4463
Phone(859) 489-4463
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 1, 2011
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1528366457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KY · 46899✔ Licensed in PA · MT198566
Definition
A 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.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License V7782 (TX)
1112 PARLIAMENT WAY, Lexington, KY 40517
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Secondary Practice Location 1

Location 1250 S 21st StEaston, PA 18042-3851 · Phone (610) 250-4517

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Haider Shamsulddin 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 ID2062738081
PECOS Enrollment IDI20150309002545, I20250520002167, I20250603002796, I20250721001338
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Haider Shamsulddin reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Inc
0.4 mi
Nurse Practitioner
4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1255805586 (Kentucky)
  • 999 clinicians in this Medicare group
NPI 1518360296 (859) 260-4390
Cogent Healthcare Of Kentucky, Psc
3.9 mi
Internal Medicine
1 SAINT JOSEPH DR
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 236 clinicians in this Medicare group
NPI 1053362293 (859) 313-1000
Ephraim Mcdowell Health Resource, Inc.
21 mi
Family Medicine
510 N CAMP DICK RD
Lancaster, KY 40444
  • Reassigned Medicare billing, Kentucky enrollment
  • 247 clinicians in this Medicare group
NPI 1417002114 (859) 548-8000
24 On Physicians, PC
28 mi
Hospitalist
217 S 3RD ST
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 89 clinicians in this Medicare group
NPI 1679522346 (800) 923-2247
Hospital Medicine Services Of Tennessee PC
81 mi
Hospitalist
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Kentucky enrollment
  • 106 clinicians in this Medicare group
NPI 1528433802 (812) 537-1010
Hospital Medicine Services Of Ky, LLC
128 mi
Hospitalist
1801 ASHLEY CIR
Bowling Green, KY 42104
  • Reassigned Medicare billing, Kentucky enrollment
  • 74 clinicians in this Medicare group
NPI 1215634373 (270) 793-1000
Southeastern Physician Services PC
136 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Kentucky enrollment
  • 358 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Crestwood Healthcare LP
255 mi
General Acute Care Hospital
1 HOSPITAL DR SW
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama, Arkansas, Florida, Indiana, Louisiana, Massachusetts, South Carolina, Tennessee, Texas and West Virginia enrollments
  • Medicare enrollment name: Access Telecare PLLC
  • Also billed through NPI 1013303080 (West Virginia)
  • 149 clinicians in this Medicare group
NPI 1023061496 (256) 882-3100
Lourdes Hospital LLC
1,850 mi
Internal Medicine
520 N 4TH AVE
Pasco, WA 99301
  • Reassigned Medicare billing, Kentucky enrollment
NPI 1659861060 (509) 547-7704
Rcch Trios Health LLC
1,855 mi
Internal Medicine
3730 PLAZA WAY
Kennewick, WA 99338
  • Reassigned Medicare billing, Washington enrollment
  • 159 clinicians in this Medicare group
NPI 1831682806 (509) 221-6450

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.
293 services135 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.
288 services139 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
86 services84 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.
75 services72 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

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

Saint Joseph Mount Sterling

Acute Care Hospitals · Mount Sterling, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180064
Location225 Falcon DriveMount Sterling, KY 40353 · Montgomery County
Emergency services Birthing friendly

Frankfort Regional Medical Center

Acute Care Hospitals · Frankfort, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180127
Location299 Kings Daughters DriveFrankfort, KY 40601 · Franklin County
Emergency services

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 40517 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.

Reported Quality Measures

Care Plan
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…
97%125 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers77 claims77 services$20.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers84 claims84 services$112.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Haider Shamsulddin's NPI number?

The NPI number for Haider Shamsulddin is 1528366457. It was assigned to this individual provider in the NPPES registry on March 1, 2011.

Where is Haider Shamsulddin located?

Haider Shamsulddin practices at 1112 Parliament Way, Lexington, KY 40517. The listed phone number is (859) 489-4463.

What is Haider Shamsulddin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Haider Shamsulddin enrolled in Medicare?

Yes. Haider Shamsulddin 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.

Which organizations bill Medicare for Haider Shamsulddin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haider Shamsulddin reassigns Medicare benefits to 10 organizations: Baptist Health Medical Group Inc (Lexington, KY), Cogent Healthcare Of Kentucky, Psc (Lexington, KY), Ephraim Mcdowell Health Resource, Inc. (Lancaster, KY), 24 On Physicians, PC (Danville, KY), Hospital Medicine Services Of Tennessee PC (Lawrenceburg, IN) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haider Shamsulddin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Haider Shamsulddin affiliated with any hospitals?

According to CMS data, Haider Shamsulddin is affiliated with Saint Joseph Hospital, Saint Joseph London, Saint Joseph Mount Sterling, Frankfort Regional Medical Center and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Haider Shamsulddin was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.