DR. IRAM NAWAZ MD
NPI 1992967269
Internal Medicine - Pulmonary Disease in Lexington, KY

Q: What is Iram Nawaz's NPI number?

The NPI number for Iram Nawaz is 1992967269. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Q: What is Iram Nawaz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Iram Nawaz was last updated on September 4, 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.

Active since June 27, 2008PECOS EnrolledAccepts Medicare Assignment

211 FOUNTAIN CT STE 210, LEXINGTON, KY 40509(859) 629-7145(859) 276-5939 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Iram Nawaz Md NPPES

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

DR. IRAM NAWAZ MD (NPI 1992967269) is an individual pulmonary disease provider in Lexington, Kentucky, licensed in Kentucky (45922) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1992967269

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameDR. IRAM NAWAZCredential: MD

Location Address211 FOUNTAIN CT STE 210Lexington, KY 40509-2696

Mailing AddressPo Box 936London, KY 40743-0936

Phone(859) 629-7145

Fax(859) 276-5939

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJune 27, 2008

Last NPPES UpdateSeptember 4, 2019

✔ NPI 1992967269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in KY · 45922

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.

211 FOUNTAIN CT STE 210, Lexington, KY 40509

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Secondary Practice Location 1

Location 1450 Clarkson AveBrooklyn, NY 11203-2012 · Phone (718) 964-3277

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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. Iram Nawaz 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 ID7012055502

PECOS Enrollment IDI20131003000180

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 Iram Nawaz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ephraim Mcdowell Health Resource, Inc.

24 mi

Family Medicine

510 N CAMP DICK RD
Lancaster, KY 40444

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

NPI 1417002114 (859) 548-8000

Baptist Health Medical Group Inc

79 mi

Internal Medicine

2413 RING RD STE 100
Elizabethtown, KY 42701

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

NPI 1093338527 (270) 737-0077

Kings Daughters Medical Specialties Inc

92 mi

Physical Medicine & Rehabilitation

1279 OLD ABBOTT MOUNTAIN RD
Prestonsburg, KY 41653

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

NPI 1710215736 (606) 886-1260

T J Samson Community Hospital

106 mi

Family Medicine

1325 N RACE ST
Glasgow, KY 42141

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

NPI 1093752040 (270) 651-4797

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 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.

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.

160 services98 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.

74 services74 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

42 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number180012

Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County

Emergency services

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 40509 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 20

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers11 claims11 services$34.43 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers12 claims25 services$1.97 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers16 claims16 services$106.99 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers16 claims40 services$34.55 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

7 suppliers14 claims14 services$17.43 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers15 claims15 services$14.99 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers20 claims103 services$1.86 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers62 claims62 services$17.84 avg. paid by Medicare

Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$50.60 avg. paid by Medicare

Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$48.51 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers87 claims87 services$909.61 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers43 claims43 services$6.61 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers45 claims45 services$35.14 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

13 suppliers202 claims202 services$96.93 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

9 suppliers100 claims100 services$34.35 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

2 suppliers12 claims720 services$6.77 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

6 suppliers18 claims3,628 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

6 suppliers16 claims2,190 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers11 claims660 services$0.84 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

13 suppliers44 claims44 services$25.33 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 6

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

MS. KIMBERLY DAWN PRUITT APRN

Nurse Practitioner

211 FOUNTAIN CT STE 210
LEXINGTON, KY 40509

Fayette County (859) 629-7145

PHYO P KYAW M.D

Internal Medicine (Pulmonary Disease)

211 FOUNTAIN CT STE 210
LEXINGTON, KY 40509

Fayette County (859) 629-7145

MICHENZI LEE HOFFMAN

Physician Assistant

211 FOUNTAIN CT STE 210
LEXINGTON, KY 40509

Fayette County (859) 629-7145

SUZANNE MICHELLE MORTON M.D.

Internal Medicine (Cardiovascular Disease)

211 FOUNTAIN CT STE 210
LEXINGTON, KY 40509

Fayette County (859) 629-7280

MR. RAUL S. GARCIA JR. PA-C

Physician Assistant (Surgical)

211 FOUNTAIN CT STE 210
LEXINGTON, KY 40509

Fayette County (859) 629-7145

SHANE SLONE APRN-NP

Nurse Practitioner

211 FOUNTAIN CT STE 210
LEXINGTON, KY 40509

Fayette County (859) 629-7145

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 Iram Nawaz's NPI number?

The NPI number for Iram Nawaz is 1992967269. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Where is Iram Nawaz located?

Iram Nawaz practices at 211 Fountain Ct Ste 210, Lexington, KY 40509. The listed phone number is (859) 629-7145.

What is Iram Nawaz's specialty?

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

Is Iram Nawaz enrolled in Medicare?

Yes. Iram Nawaz 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 Iram Nawaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Iram Nawaz reassigns Medicare benefits to 4 organizations: Ephraim Mcdowell Health Resource, Inc. (Lancaster, KY), Baptist Health Medical Group Inc (Elizabethtown, KY), Kings Daughters Medical Specialties Inc (Prestonsburg, KY) and T J Samson Community Hospital (Glasgow, 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 Iram Nawaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Iram Nawaz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Iram Nawaz 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 Iram Nawaz affiliated with any hospitals?

According to CMS data, Iram Nawaz is affiliated with Saint Joseph Hospital, Baptist Health Hardin, Saint Joseph East and Saint Joseph Berea.

When was this NPI record last updated?

The NPPES record for Iram Nawaz was last updated on September 4, 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.