DR. SAMUEL HOUSSAM MARDINI MD
NPI 1780622761
Internal Medicine - Gastroenterology in Lexington, KY

Q: What is Samuel Mardini's NPI number?

The NPI number for Samuel Mardini is 1780622761. It was assigned to this individual provider in the NPPES registry on June 3, 2006. The provider is also known as Dr. Houssam Eddin Mardini MD.

Q: What is Samuel Mardini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Mardini was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1401 HARRODSBURG RD STE C305, LEXINGTON, KY 40504(859) 278-8400(859) 276-3700 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Samuel Houssam Mardini Md NPPES

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

DR. SAMUEL HOUSSAM MARDINI MD (NPI 1780622761) is an individual gastroenterology provider in Lexington, Kentucky, licensed in Kentucky (37438) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1780622761

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. SAMUEL HOUSSAM MARDINICredential: MD

Location Address1401 HARRODSBURG RD STE C305Lexington, KY 40504-3771

Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835 · Fax (859) 278-8400

Phone(859) 278-8400

Fax(859) 276-3700

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJune 3, 2006

Last NPPES UpdateApril 29, 2026

NPPES CertifiedApril 29, 2026

✔ NPI 1780622761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in KY · 37438✔ Licensed in WV · 24021

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 24021 (WV)

1401 HARRODSBURG RD STE C305, Lexington, KY 40504

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Other Names 1

Other Name (5)Dr. Houssam Eddin Mardini Md

Other Identifiers 1

Medicaid64108053KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, First Choice Next.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. Samuel Houssam Mardini 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 ID4688619802

PECOS Enrollment IDI20050628000125, I20110727000213

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

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

Kentuckyone Health Medical Group, Inc.

0.1 mi

Family Medicine

1401 HARRODSBURG RD
Lexington, KY 40504

Reassigned Medicare billing, Kentucky enrollment
250 clinicians in this Medicare group

NPI 1104875970 (606) 330-7835

Kentucky Medical Services Foundation, Inc

4.3 mi

Internal Medicine

2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
1,502 clinicians in this Medicare group

NPI 1326091448 (859) 257-7910

University Medical Associates

440 mi

Multi-Specialty

2125 CHARLIE HALL BLVD, SUITE 100
Charleston, SC 29414

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
2,594 clinicians in this Medicare group

NPI 1760413835 (843) 792-1414

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 8

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.

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

97 services64 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

91 services50 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.

61 services58 patients

Removal of stent from pancreatic or bile duct using a flexible endoscope 43275

This procedure involves removing a stent from your pancreatic or bile duct. A flexible endoscope, a thin tube with a light and camera, is used to locate the stent. Once found, it's carefully extracted. This helps maintain proper duct function.

43 services38 patients

Replacement of stent in pancreatic or bile duct using a flexible endoscope 43276

This procedure involves replacing an existing stent in your pancreatic or bile duct. A flexible endoscope, a tube-like device with a light and camera, is used to view and access the area. The old stent is removed and a new one is placed to help keep the duct open.

28 services21 patients

Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope 43238

An ultrasound guided needle aspiration or biopsy of the esophagus involves using a flexible tube with a camera (endoscope) to view your esophagus. An ultrasound device on the endoscope helps to guide a needle to take a small tissue sample for testing. This is a safe, minimally invasive procedure.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420004

Location169 Ashley AveCharleston, SC 29425 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

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

MRS. SAMANTHA NICHOLS BARRY APRN

Nurse Practitioner (Family)