SOPHIA T HALEEM D.O.
NPI 1952334997
Emergency Medicine in Ashland, KY
About Sophia T Haleem D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIA T HALEEM D.O. (NPI 1952334997) is an individual emergency medicine provider in Ashland, Kentucky, licensed in Kentucky (02878) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Adams County Regional Medical Center, and maintains a secondary practice location in Lexington.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted 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
Sophia T Haleem D.o. 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adams County Regional Medical Center
Critical Access Hospitals · Seaman, OHSt Mary's Medical Center
Acute Care Hospitals · Huntington, WVPhysician 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.
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.
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.
ASHLAND, KY 41101
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 Sophia Haleem's NPI number?
The NPI number for Sophia Haleem is 1952334997. It was assigned to this individual provider in the NPPES registry on July 9, 2006.
Where is Sophia Haleem located?
Sophia Haleem practices at 2201 Lexington Ave, Ashland, KY 41101. The listed phone number is (606) 327-4000.
What is Sophia Haleem's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Sophia Haleem enrolled in Medicare?
Yes. Sophia Haleem 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 Sophia Haleem accept?
Health plans from CareSource list Sophia Haleem 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 Sophia Haleem affiliated with any hospitals?
According to CMS data, Sophia Haleem is affiliated with Adams County Regional Medical Center and St Mary's Medical Center.
When was this NPI record last updated?
The NPPES record for Sophia Haleem was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
