MAHMOUD A. ABUALAYEM MD.
NPI 1659703163
Internal Medicine - Cardiovascular Disease in Berea, KY

Q: What is Mahmoud Abualayem's NPI number?

The NPI number for Mahmoud Abualayem is 1659703163. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Q: What is Mahmoud Abualayem's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Mahmoud Abualayem was last updated on August 17, 2023. 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.

Active since August 07, 2013PECOS EnrolledAccepts Medicare Assignment

305 ESTILL ST, BEREA, KY 40403(859) 986-6775(859) 986-6512 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2023, May 5, 2022, May 6, 2019 and 1 more (4 updates tracked since 2016).

On this page

About Mahmoud A. Abualayem Md. NPPES

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

MAHMOUD A. ABUALAYEM MD. (NPI 1659703163) is an individual cardiovascular disease provider in Berea, Kentucky, licensed in Kentucky (49009) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains a secondary practice location in Owensboro.

NPPES Registry Identity

NPI1659703163

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMAHMOUD A. ABUALAYEMCredential: MD.

Location Address305 ESTILL STBerea, KY 40403-1742

Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7840 · Fax (606) 330-7825

Phone(859) 986-6775

Fax(859) 986-6512

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 7, 2013

Last NPPES UpdateAugust 17, 20234 updates tracked since enumeration

NPPES CertifiedAugust 17, 2023

✔ NPI 1659703163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in KY · 49009

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA09291600 (NJ)

305 ESTILL ST, Berea, KY 40403

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Secondary Practice Location 1

Location 11301 Pleasant Valley Rd Ste 202Owensboro, KY 42303-9774 · Phone (270) 417-7500 · Fax (270) 417-7509

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Mahmoud A. Abualayem 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 ID2567755432

PECOS Enrollment IDI20160729001469

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 12

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

138 services138 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

88 services66 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.

59 services57 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.

55 services37 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

44 services40 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

35 services31 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

32 services32 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

28 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 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.

15 services13 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Bourbon Community Hospital

Acute Care Hospitals · Paris, KY

5/5 CMS rating

OwnershipProprietary

CMS Certification Number180046

Location9 Linville DriveParis, KY 40361 · Bourbon County

Emergency services

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY

3/5 CMS rating

OwnershipProprietary

CMS Certification Number180092

Location175 Hospital DriveWinchester, KY 40391 · Clark 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40403 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

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

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 20

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

DR. DASEN R RITCHEY M.D.

Surgery

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 986-3151

MS. JILLISA D HAWK ARNP

Nurse Practitioner (Family)

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 986-9521

SAINT JOSEPH MEDICAL FOUNDATION, INC

Urology

305 ESTILL ST, 3RD FLOOR
BEREA, KY 40403

Madison County (859) 985-8100

REBECCA BRANDENBURG APRN- CNP

Nurse Practitioner (Psychiatric/Mental Health)

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 985-1415

SAINT JOSEPH MEDICAL FOUNDATION, INC

Otolaryngology

305 ESTILL ST, 3RD FLOOR
BEREA, KY 40403

Madison County (859) 986-6791

SAINT JOSEPH MEDICAL FOUNDATION, INC

Internal Medicine

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 986-3151

PAMELA RENAE FUGATE APRN

Nurse Practitioner (Family)

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 985-1415

DR. ROSHAN PAIS M.D.

Internal Medicine

305 ESTILL ST, HOSPITALIST DEPT
BEREA, KY 40403

Madison County (859) 986-2344

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 Mahmoud Abualayem's NPI number?

The NPI number for Mahmoud Abualayem is 1659703163. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Where is Mahmoud Abualayem located?

Mahmoud Abualayem practices at 305 Estill St, Berea, KY 40403. The listed phone number is (859) 986-6775.

What is Mahmoud Abualayem's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mahmoud Abualayem enrolled in Medicare?

Yes. Mahmoud Abualayem 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 Mahmoud Abualayem accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Mahmoud Abualayem 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 Mahmoud Abualayem affiliated with any hospitals?

According to CMS data, Mahmoud Abualayem is affiliated with Saint Joseph Hospital, Bourbon Community Hospital, Clark Regional Medical Center and Georgetown Community Hospital.

When was this NPI record last updated?

The NPPES record for Mahmoud Abualayem was last updated on August 17, 2023. 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.