Nezar Mudher Falluji, MD - Medicare Interventional Cardiology in Lexington, KY

Nezar Mudher Falluji, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Lexington, Kentucky. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Kentuckyone Health Medical Group Inc and his current practice location is 1401 Harrodsburg Rd, A300, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 276-4429.

Nezar Mudher Falluji is licensed to practice in Kentucky (license number 39366) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053427872.

Contact Information

Nezar Mudher Falluji, MD
1401 Harrodsburg Rd, A300,
Lexington, KY 40504-3751
(859) 276-4429
(859) 276-6961

Map and Direction




Physician's Profile

Full NameNezar Mudher Falluji
GenderMale
SpecialityInterventional Cardiology
Experience31 Years
Location1401 Harrodsburg Rd, Lexington, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nezar Mudher Falluji graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1053427872
  • Provider Enumeration Date: 08/22/2006
  • Last Update Date: 07/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3678593456
  • Enrollment ID: I20051123000407

Medical Identifiers

Medical identifiers for Nezar Mudher Falluji such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053427872NPI-NPPES
64116007MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 39366 (Kentucky)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 39366 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph HospitalLexington, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kentuckyone Health Medical Group Inc8820993702227

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nezar Mudher Falluji allows following entities to bill medicare on his behalf.
Entity NameKentuckyone Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104875970
PECOS PAC ID: 8820993702
Enrollment ID: O20031204000080

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nezar Mudher Falluji is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nezar Mudher Falluji, MD
Po Box 936,
London, KY 40743-0936

Ph: (606) 330-7840
Nezar Mudher Falluji, MD
1401 Harrodsburg Rd, A300,
Lexington, KY 40504-3751

Ph: (859) 276-4429

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.