BINNI MAKKAR MD
NPI 1538721337
Internal Medicine - Rheumatology in Lexington, KY

Active since July 01, 2019PECOS EnrolledAccepts Medicare Assignment
135 E MAXWELL ST FL 3, LEXINGTON, KY 40508(859) 218-5350(859) 323-7660 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 6, 2024, Jul 1, 2019 (2 updates tracked since 2019).

About Binni Makkar Md NPPES

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

BINNI MAKKAR MD (NPI 1538721337) is an individual rheumatology provider in Lexington, Kentucky, licensed in Kentucky (58912) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1538721337
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameBINNI MAKKARCredential: MD
Location Address135 E MAXWELL ST FL 3Lexington, KY 40508-2640
Mailing AddressMsc 10-5550 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-4661 · Fax (505) 272-4628
Fax(859) 323-7660
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 1, 2019
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1538721337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in KY · 58912
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RS2019-0330 (NM)
135 E MAXWELL ST FL 3, Lexington, KY 40508

Secondary Practice Location 1

Location 1Msc 10-5550 1 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-4661

Accepted Insurance

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

Binni Makkar Md 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 ID6002143088
PECOS Enrollment IDI20240711000643
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

2

Medicare enrollment records show Binni Makkar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult Medicine
217 ELM TREE LN
Lexington, KY 40507
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group

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

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.

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.
23 services21 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 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 5

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

Internal Medicine (Pulmonary Disease)
135 E MAXWELL ST FL 3
LEXINGTON, KY 40508
Internal Medicine (Rheumatology)
135 E MAXWELL ST FL 3
LEXINGTON, KY 40508
Internal Medicine (Medical Oncology)
135 E MAXWELL ST FL 3
LEXINGTON, KY 40508
Internal Medicine (Infectious Disease)
135 E MAXWELL ST FL 3
LEXINGTON, KY 40508
Internal Medicine (Medical Oncology)
135 E MAXWELL ST FL 3
LEXINGTON, KY 40508

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 Binni Makkar's NPI number?

The NPI number for Binni Makkar is 1538721337. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is Binni Makkar located?

Binni Makkar practices at 135 E Maxwell St Fl 3, Lexington, KY 40508. The listed phone number is (859) 218-5350.

What is Binni Makkar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Binni Makkar enrolled in Medicare?

Yes. Binni Makkar 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 Binni Makkar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Binni Makkar reassigns Medicare benefits to 2 organizations: University Of Kentucky (Lexington, KY) and Kentucky Medical Services Foundation, Inc (Lexington, KY). 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 Binni Makkar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Binni Makkar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Binni Makkar 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 Binni Makkar affiliated with any hospitals?

According to CMS data, Binni Makkar is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Binni Makkar was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.