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DR. ZIAULLAH VIRK MD
NPI 1740267533
Internal Medicine - Rheumatology in Hazard, KY

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
1908 N MAIN ST STE 120, HAZARD, KY 41701(606) 439-2662 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2022, Apr 5, 2021, Sep 30, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Ziaullah Virk Md NPPES

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

DR. ZIAULLAH VIRK MD (NPI 1740267533) is an individual rheumatology provider in Hazard, Kentucky, licensed in Kentucky (48955) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Hazard Arh Regional Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1740267533
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. ZIAULLAH VIRKCredential: MD
Location Address1908 N MAIN ST STE 120Hazard, KY 41701-2503
Mailing AddressPo Box 959Hazard, KY 41702-0959 · (606) 435-2961
Phone(606) 439-2662
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateDecember 22, 2005
Last NPPES UpdateOctober 21, 20244 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1740267533 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 · 48955✔ Licensed in LA · MD13689R✔ Licensed in LA · 13689R✔ Licensed in TX · N6757
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.
1908 N MAIN ST STE 120, Hazard, KY 41701
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Other Identifiers 4

Medicaid1035891LA
Medicaid03005261MS
Medicaid89129K7NC
Medicaid7100420880KY

Accepted Insurance

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

Dr. Ziaullah Virk 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 ID3476523861
PECOS Enrollment IDI20160721001731
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 Ziaullah Virk reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mountain After Hours Clinic Psc
1.0 mi
Rural Health
1908 N MAIN ST, SUITE 120
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 68 clinicians in this Medicare group
NPI 1477638880 (606) 439-2662
Dallas Arthritis And Autoimmune Disease Center PLLC
797 mi
Rheumatology
425 N HIGHLAND AVE STE 200
Sherman, TX 75092
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1356913297 (903) 508-4230
Walk-In & Urgent Care PA
852 mi
Internal Medicine
6407 S COOPER ST, SUITE#117
Arlington, TX 76001
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1912277260 (817) 472-7601

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 3

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.
63 services63 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.
29 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41701 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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%248 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
32%347 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
27%315 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
56%131 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%163 patients5/55-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.

Other Providers at the Same Location NPPES 3

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

PAMELA BREANN SEBASTIAN APRN
Nurse Practitioner (Family)
1908 N MAIN ST STE 120
HAZARD, KY 41701
Perry County (606) 439-2662
KELLY DENISE GOINS PA-C
Physician Assistant
1908 N MAIN ST STE 120
HAZARD, KY 41701
Perry County (606) 439-2662
MEGAN PAIGE LEWIS APRN
Nurse Practitioner (Family)
1908 N MAIN ST STE 120
HAZARD, KY 41701
Perry County (606) 439-2662

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 Ziaullah Virk's NPI number?

The NPI number for Ziaullah Virk is 1740267533. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Ziaullah Virk located?

Ziaullah Virk practices at 1908 N Main St Ste 120, Hazard, KY 41701. The listed phone number is (606) 439-2662.

What is Ziaullah Virk's specialty?

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

Is Ziaullah Virk enrolled in Medicare?

Yes. Ziaullah Virk 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 Ziaullah Virk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ziaullah Virk reassigns Medicare benefits to 3 organizations: Mountain After Hours Clinic Psc (Hazard, KY), Dallas Arthritis And Autoimmune Disease Center PLLC (Sherman, TX) and Walk-In & Urgent Care PA (Arlington, TX). 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 Ziaullah Virk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ziaullah Virk accept?

Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan and CareSource list Ziaullah Virk 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 Ziaullah Virk affiliated with any hospitals?

According to CMS data, Ziaullah Virk is affiliated with Hazard Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ziaullah Virk was last updated on October 21, 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.