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HAMZA HADI A TANTOUSH MBBCH
NPI 1669737862
Internal Medicine - Rheumatology in Pikeville, KY

Active since July 12, 2012PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501(606) 430-2208(606) 430-1994 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2025, Feb 6, 2023, Jan 25, 2023 and 4 more (7 updates tracked since 2017).

About Hamza Hadi A Tantoush Mbbch NPPES

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

HAMZA HADI A TANTOUSH MBBCH (NPI 1669737862) is an individual rheumatology provider in Pikeville, Kentucky, licensed in Kentucky (48350) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1669737862
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameHAMZA HADI A TANTOUSHCredential: MBBCH
Location Address911 BYPASS RD BLDG APikeville, KY 41501-1602
Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-2208 · Fax (606) 430-1980
Phone(606) 430-2208
Fax(606) 430-1994
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 12, 2012
Last NPPES UpdateFebruary 10, 20267 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
✔ NPI 1669737862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in KY · 48350✔ Licensed in SD · 10263
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.
911 BYPASS RD BLDG A, Pikeville, KY 41501
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11221 S BroadwayLexington, KY 40504-2701 · Phone (859) 258-4450 · Fax (859) 258-4039
Location 2800 Rose St, HQ-101Lexington, KY 40536-0284 · Phone (859) 257-1331 · Fax (859) 323-2054
Location 31310 W 22nd St Ste Lower LevelSioux falls, SD 57105-1501 · Phone (605) 328-3485

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Hamza Hadi A Tantoush Mbbch 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 ID1052627841
PECOS Enrollment IDI20210301002769
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

3

Medicare enrollment records show Hamza Tantoush reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pikeville Medical Center Inc.
0.2 mi
Multi-Specialty
911 BYPASS RD BLDG A
Pikeville, KY 41501
  • Reassigned Medicare billing, Kentucky enrollment
  • 579 clinicians in this Medicare group
NPI 1528195864 (606) 430-3500
Sanford Clinic
765 mi
Pulmonary Disease
701 E 2ND ST
Ida Grove, IA 51445
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1265457964 (712) 364-7341
Sanford Medical Center
855 mi
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897

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.

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.
98 services60 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.
41 services41 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.
17 services17 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

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.

MRS. WHITNEY P. BURTON PA-C
Physician Assistant
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2201
DR. SHRAVANTI PONGALI MUTHU MD, MPH
Hospitalist
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500
AMY O JOHNSON MD
Surgery
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2205
MATTHEW SEXTON M.D.
Anesthesiology (Critical Care Medicine)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500
CAITLIN VICTORIA BERNIECE COLLIER
Nurse Practitioner (Family)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2208
BRIANNA I COLEMAN
Nurse Practitioner (Family)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2201
EMUESIRI CATHERINE OVWIGHO MD
Hospitalist
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500
TRULENA BENNER CRNA
Nurse Anesthetist, Certified Registered
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500

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 Hamza Tantoush's NPI number?

The NPI number for Hamza Tantoush is 1669737862. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Where is Hamza Tantoush located?

Hamza Tantoush practices at 911 Bypass Rd Bldg A, Pikeville, KY 41501. The listed phone number is (606) 430-2208.

What is Hamza Tantoush's specialty?

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

Is Hamza Tantoush enrolled in Medicare?

Yes. Hamza Tantoush 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 Hamza Tantoush's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hamza Tantoush reassigns Medicare benefits to 3 organizations: Pikeville Medical Center Inc. (Pikeville, KY), Sanford Clinic (Ida Grove, IA) and Sanford Medical Center (Sioux Falls, SD). 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 Hamza Tantoush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hamza Tantoush accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Hamza Tantoush 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 Hamza Tantoush affiliated with any hospitals?

According to CMS data, Hamza Tantoush is affiliated with Pikeville Medical Center.

When was this NPI record last updated?

The NPPES record for Hamza Tantoush was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.