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HAWA J EDRISS MD
NPI 1841546793
Internal Medicine - Pulmonary Disease in Lexington, KY

Active since July 30, 2012PECOS EnrolledAccepts Medicare Assignment
1401 HARRODSBURG RD STE A300, LEXINGTON, KY 40504(859) 313-4744(859) 276-5939 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2019, Jul 18, 2018 (2 updates tracked since 2018).

About Hawa J Edriss Md NPPES

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

HAWA J EDRISS MD (NPI 1841546793) is an individual pulmonary disease provider in Lexington, Kentucky, licensed in Kentucky (51370) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1841546793
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameHAWA J EDRISSCredential: MD
Location Address1401 HARRODSBURG RD STE A300Lexington, KY 40504
Mailing AddressPo Box 936London, KY 40743-0936 · Fax (606) 330-7825
Phone(859) 313-4744
Fax(859) 276-5939
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 30, 2012
Last NPPES UpdateAugust 9, 20192 updates tracked since enumeration
✔ NPI 1841546793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in KY · 51370
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 51370 (KY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 51370 (KY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1401 HARRODSBURG RD STE A300, Lexington, KY 40504
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Secondary Practice Location 1

Location 13601 4th St, MS 9410Lubbock, TX 79430-0002 · Phone (806) 743-3150 · Fax (806) 743-2978

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Hawa J Edriss 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 ID8224336466
PECOS Enrollment IDI20180809000714
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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
834 services259 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
380 services148 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.
162 services124 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.
35 services27 patients
Aspiration of initial secretion of lung airway using an endoscope 31645
This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.
21 services20 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
20 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

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

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Saint Joseph Berea

Critical Access Hospitals · Berea, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181329
Location305 Estill StreetBerea, KY 40403 · Madison County
Emergency services

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers26 claims27 services$18.70 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers26 claims26 services$924.54 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers19 claims19 services$8.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers98 claims99 services$94.51 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers66 claims66 services$33.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

DR. JOSEPH EDMUND SKURKA DPM
Podiatrist (Foot & Ankle Surgery)
1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504
Fayette County (859) 276-4429
EMILY ERNST PA-C
Physician Assistant (Medical)
1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504
Fayette County (859) 276-4429
HAROLD DENNIS JR. PA-C
Physician Assistant
1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504
Fayette County (859) 276-4429
THOMAS L GOFF M.D.
Internal Medicine (Interventional Cardiology)
1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504
Fayette County (859) 276-4429
MRS. BRENDA ARLEEN SHERWOOD RN, APRN
Nurse Practitioner
1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504
Fayette County (859) 276-4429
JAMES C KEMP PA
Physician Assistant
1401 HARRODSBURG RD STE A300, KENTUCKYONE HEALTH MEDICAL GROUP-PULMONARY ASSOCIATES
LEXINGTON, KY 40504
Fayette County (859) 313-4744
NAGABHUSHANAM R BOLLAVARAM M.D
Internal Medicine (Pulmonary Disease)
1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504
Fayette County (859) 313-4744
DR. JAMIE J. JACOBS MD
Internal Medicine (Cardiovascular Disease)
1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504
Fayette County (859) 276-4429

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 Hawa Edriss's NPI number?

The NPI number for Hawa Edriss is 1841546793. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Where is Hawa Edriss located?

Hawa Edriss practices at 1401 Harrodsburg Rd Ste A300, Lexington, KY 40504. The listed phone number is (859) 313-4744.

What is Hawa Edriss's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Hawa Edriss enrolled in Medicare?

Yes. Hawa Edriss 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 Hawa Edriss accept?

Health plans from CareSource list Hawa Edriss 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 Hawa Edriss affiliated with any hospitals?

According to CMS data, Hawa Edriss is affiliated with Saint Joseph Hospital, Saint Joseph London, Clark Regional Medical Center, Saint Joseph East and Saint Joseph Berea.

When was this NPI record last updated?

The NPPES record for Hawa Edriss was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.