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DR. HALA M ALSHAYEB MD
NPI 1942400452
Internal Medicine - Nephrology in Ashland, KY

Active since July 23, 2007PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
613 23RD ST STE 510, ASHLAND, KY 41101(606) 329-9335(606) 324-6383 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2023, Apr 30, 2021, Oct 23, 2018 (3 updates tracked since 2018).

About Dr. Hala M Alshayeb Md NPPES

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

DR. HALA M ALSHAYEB MD (NPI 1942400452) is an individual nephrology provider in Ashland, Kentucky, licensed in Kentucky (57110) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942400452
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. HALA M ALSHAYEBCredential: MD
Location Address613 23RD ST STE 510Ashland, KY 41101-2878
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-9571 · Fax (606) 408-6061
Phone(606) 329-9335
Fax(606) 324-6383
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 23, 2007
Last NPPES UpdateJanuary 24, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
✔ NPI 1942400452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in KY · 57110✔ Licensed in WV · 25204
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25204 (WV)
613 23RD ST STE 510, Ashland, KY 41101
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11690 Medical Center DriveHuntington, WV 25701-3656 · Phone (304) 526-2532 · Fax (304) 526-4542
Location 22900 1st Ave Rm 1025Huntington, WV 25702-1241 · Phone (304) 399-7484 · Fax (304) 399-7579

Other Identifiers 2

Medicaid0094024OH
Medicaid7100267660KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Hala M Alshayeb 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 ID941431241
PECOS Enrollment IDI20230125000734, I20240903002668
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.

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.
668 services203 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.
107 services84 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.
104 services103 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.
72 services45 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.
58 services58 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.
54 services33 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Referred Medical Equipment & Supplies CMS DME claims 2

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 suppliers40 claims40 services$13.97 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
4 suppliers46 claims46 services$77.74 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 2

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

JESSICA DUNHAM APRN
Nurse Practitioner (Family)
613 23RD ST STE 510
ASHLAND, KY 41101
Boyd County (606) 329-9335
HEATHER JASMINE HOLTON APRN
Nurse Practitioner (Acute Care)
613 23RD ST STE 510
ASHLAND, KY 41101
Boyd County (606) 329-9335

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 Hala Alshayeb's NPI number?

The NPI number for Hala Alshayeb is 1942400452. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Hala Alshayeb located?

Hala Alshayeb practices at 613 23rd St Ste 510, Ashland, KY 41101. The listed phone number is (606) 329-9335.

What is Hala Alshayeb's specialty?

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

Is Hala Alshayeb enrolled in Medicare?

Yes. Hala Alshayeb 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 Hala Alshayeb accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Hala Alshayeb 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 Hala Alshayeb affiliated with any hospitals?

According to CMS data, Hala Alshayeb is affiliated with King's Daughters' Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Hala Alshayeb was last updated on January 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.