DR. HUSSAM N. HAMDALLA MD
NPI 1871527804
Internal Medicine - Interventional Cardiology in Lexington, KY

Q: What is Hussam Hamdalla's NPI number?

The NPI number for Hussam Hamdalla is 1871527804. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Hussam Hamdalla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Hussam Hamdalla was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 July 10, 2006PECOS EnrolledAccepts Medicare Assignment

1401 HARRODSBURG RD, LEXINGTON, KY 40504(859) 276-4429(859) 276-5919 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 19, 2022, Dec 7, 2022 (2 updates tracked since 2022).

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About Dr. Hussam N. Hamdalla Md NPPES

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

DR. HUSSAM N. HAMDALLA MD (NPI 1871527804) is an individual interventional cardiology provider in Lexington, Kentucky, licensed in Kentucky (37239) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains a secondary practice location in Danville.

NPPES Registry Identity

NPI1871527804

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. HUSSAM N. HAMDALLACredential: MD

Location Address1401 HARRODSBURG RDLexington, KY 40504-3751

Mailing AddressPo Box 936London, KY 40743-0936

Phone(859) 276-4429

Fax(859) 276-5919

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateJuly 10, 2006

Last NPPES UpdateApril 24, 20252 updates tracked since enumeration

NPPES CertifiedApril 24, 2025

✔ NPI 1871527804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in KY · 37239

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 37239 (KY)

1401 HARRODSBURG RD, Lexington, KY 40504

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Secondary Practice Location 1

Location 1102 Citation DrDanville, KY 40422-9216 · Phone (859) 236-6621 · Fax (859) 236-6620

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Hussam N. Hamdalla 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 ID7012913775

PECOS Enrollment IDI20061020000101

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 Hussam Hamdalla 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.

Same address

Family Medicine

1401 HARRODSBURG RD
Lexington, KY 40504

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

NPI 1104875970 (606) 330-7835

Ephraim Mcdowell Health Resource, Inc.

24 mi

Family Medicine

1509 LOUISVILLE RD
Harrodsburg, KY 40330

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

NPI 1174678643 (859) 734-5770

Ephraim Mcdowell Regional Medical Center, Incorporated

32 mi

Specialist

520 TECHWOOD DR N, STE 100
Danville, KY 40422

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

NPI 1336580554 (859) 236-2203

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 27

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

479 services327 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

189 services187 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.

134 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.

124 services106 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.

105 services89 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

97 services95 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.

60 services59 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

49 services49 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

48 services48 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

44 services43 patients

Heart muscle strain imaging 93356

35 services34 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.

34 services34 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

32 services32 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

32 services32 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

30 services29 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

30 services22 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.

29 services29 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

21 services15 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

21 services21 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

16 services14 patients

Ultrasound of both sides of head and neck blood flow 93880

14 services14 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

13 services13 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

13 services12 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

12 services12 patients

Ultrasound study of arm and leg arteries 93922

12 services12 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

11 services11 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

11 services11 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

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180048

Location217 South Third StreetDanville, KY 40422 · Boyle County

Emergency services Birthing friendly

The James B. Haggin Memorial Hospital

Critical Access Hospitals · Harrodsburg, KY

OwnershipVoluntary non-profit - Other

CMS Certification Number181302

Location464 Linden AvenueHarrodsburg, KY 40330 · Mercer 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.

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.

OLEVA C SCHOEDLBAUER P.A.-C.

Physician Assistant

1401 HARRODSBURG RD, SUITE A-540
LEXINGTON, KY 40504

Fayette County (859) 258-6760

ARMAGHAN YUNIS SOOMRO MD

Internal Medicine (Interventional Cardiology)

1401 HARRODSBURG RD
LEXINGTON, KY 40504

Fayette County (859) 276-4429

JANALYN PROWS M.D.

Radiology (Radiation Oncology)

1401 HARRODSBURG RD, SUITE A-100
LEXINGTON, KY 40504

Fayette County (859) 258-6505

MR. ROBERT GREG MCMORROW MD

Internal Medicine (Nephrology)

1401 HARRODSBURG RD, C 335
LEXINGTON, KY 40504

Fayette County (859) 276-5355

LAURA RARDIN-ECTON PA-C

Physician Assistant

1401 HARRODSBURG RD, SUITE B275
LEXINGTON, KY 40504

Fayette County (859) 278-2334

DR. JUSTIN DALE JOHNSON M.D.

Urology

1401 HARRODSBURG RD, SUITE C-215
LEXINGTON, KY 40504

Fayette County (859) 258-6450

DANILO CORALES

Internal Medicine

1401 HARRODSBURG RD, B 299
LEXINGTON, KY 40504

Fayette County (859) 276-0714

NEIL R FARRIS MD

Internal Medicine

1401 HARRODSBURG RD, SUITE C215
LEXINGTON, KY 40504

Fayette County (859) 278-9413

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 Hussam Hamdalla's NPI number?

The NPI number for Hussam Hamdalla is 1871527804. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Hussam Hamdalla located?

Hussam Hamdalla practices at 1401 Harrodsburg Rd, Lexington, KY 40504. The listed phone number is (859) 276-4429.

What is Hussam Hamdalla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Hussam Hamdalla enrolled in Medicare?

Yes. Hussam Hamdalla 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 Hussam Hamdalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hussam Hamdalla reassigns Medicare benefits to 3 organizations: Kentuckyone Health Medical Group, Inc. (Lexington, KY), Ephraim Mcdowell Health Resource, Inc. (Harrodsburg, KY) and Ephraim Mcdowell Regional Medical Center, Incorporated (Danville, KY). 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 Hussam Hamdalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hussam Hamdalla accept?

Health plans from Anthem Blue Cross and Blue Shield list Hussam Hamdalla 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 Hussam Hamdalla affiliated with any hospitals?

According to CMS data, Hussam Hamdalla is affiliated with Saint Joseph Hospital, Saint Joseph London, Hazard Arh Regional Medical Center, Ephraim Mcdowell Regional Medical Center and The James B. Haggin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Hussam Hamdalla was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.