HAMZA ARIF M.D.
NPI 1699161240
Internal Medicine - Nephrology in Owensboro, KY

Q: What is Hamza Arif's NPI number?

The NPI number for Hamza Arif is 1699161240. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Q: What is Hamza Arif's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hamza Arif was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 10, 2015PECOS EnrolledAccepts Medicare Assignment

63.96/100

CMS Quality Rating

1930 E PARRISH AVE, OWENSBORO, KY 42303(270) 689-1919(270) 689-1919 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2021, Jun 19, 2018 (2 updates tracked since 2018).

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About Hamza Arif M.d. NPPES

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

HAMZA ARIF M.D. (NPI 1699161240) is an individual nephrology provider in Owensboro, Kentucky, licensed in Kentucky (55600) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Perry County Memorial Hospital, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1699161240

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameHAMZA ARIFCredential: M.D.

Location Address1930 E PARRISH AVEOwensboro, KY 42303-1443

Mailing Address1930 E Parrish AveOwensboro, KY 42303-1443 · (270) 689-1919 · Fax (270) 689-1990

Phone(270) 689-1919

Fax(270) 689-1919

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 10, 2015

Last NPPES UpdateJune 14, 20212 updates tracked since enumeration

NPPES CertifiedJune 14, 2021

✔ NPI 1699161240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in KY · 55600

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.

1930 E PARRISH AVE, Owensboro, KY 42303

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Secondary Practice Location 1

Location 1100 Delafield Road, Suite 105Pittsburgh, PA 15215 · Phone (412) 784-5050 · Fax (412) 784-5077

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 from Meridian 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

Hamza Arif 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 ID9931480530

PECOS Enrollment IDI20210614000864, I20210616003500

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 11

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.

467 services288 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.

238 services101 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

136 services60 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.

113 services48 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.

103 services96 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

81 services26 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.

68 services64 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.

62 services62 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.

59 services31 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

37 services30 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.

18 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Perry County Memorial Hospital

Critical Access Hospitals · Tell City, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number151322

Location8885 Sr 237Tell City, IN 47586 · Perry County

Emergency services

Owensboro Health Muhlenberg Community Hospital

Acute Care Hospitals · Greenville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180004

Location440 Hopkinsville StreetGreenville, KY 42345 · Muhlenberg County

Emergency services

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180038

Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County

Emergency services Birthing friendly

Owensboro Health Twin Lakes Medical Center

Acute Care Hospitals · Leitchfield, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180070

Location910 Wallace AvenueLeitchfield, KY 42754 · Grayson County

Emergency services Birthing friendly

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180093

Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42303 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.

63.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.9

Improvement Activities

Cost

78.01

Reported Quality Measures

Controlling High Blood Pressure

60%539 patients3/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

34%255 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

88%1,745 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 428 patients

Patients screened: 98% · 428 patients

92%75 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

85%707 patients4/55-star benchmark: 91%

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.

Other Providers at the Same Location NPPES 6

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

RENAL TREATMENT CENTERS-ILLINOIS INC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)