MEHRUNISSA KAZIM (MD) – Internal Medicine Physician, NPI 1043763782

MEHRUNISSA KAZIM (MD) is a healthcare provider. based in Louisville, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 58043 (KY). The NPI Number for MEHRUNISSA KAZIM (MD) is 1043763782

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MEHRUNISSA KAZIM (MD)
NPI
1043763782
Phone
(502) 587-4267
Address
200 Abraham Flexner Way
Enumeration Date
29 July 2016
Last Update Date
13 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8129447701
Graduation Year
2012 (14 years ago)
PAC ID
8527347459
Group Practice PAC ID
4880041409
Professional Enrollment ID
I20240409001512
Address ID
IN471504990NE1850XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

Provider Addresses for MEHRUNISSA KAZIM (MD)

  • 200 Abraham Flexner Way

    Louisville, KY 402022877

    Phone: (502) 587-4267

    Type: Location

  • Saint Vincent Hospital at Worcester Medical Center, 123, Summer Street, Lincoln Square, Belmont Hill, Worcester, Worcester County, Massachusetts, 01608, United States

    WORCESTER, MA 016081216

    Phone: (508) 363-6208

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $212.

Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Novo Nordisk Inc ($88).

Total Amount

$212

General + Research + Ownership

Payments

6

Total payment records

General Amount

$212

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230802004184IInternal MedicineKYTBD
I20240409001512IInternal MedicineINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5524$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2313$0
99239Hospital discharge day management, more than 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 40202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880041409View full group profile
NameSpecialtyState
Internal MedicineFL
Internal Medicine, Hospitalist, Internal MedicineIN
Hospitalist, Internal Medicine, Internal MedicineIN
H O S P I T A L I S TOK
Internal MedicineIA
Physician AssistantKY
Physician AssistantIN
Family Practice, HospitalistIL
Internal MedicineFL
Nurse PractitionerIN

Reviews

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Frequently asked questions

Where can patients find MEHRUNISSA KAZIM (MD)'s NPI?
You can confirm MEHRUNISSA KAZIM (MD) with NPI 1043763782; it appears in the national provider directory.
Is MEHRUNISSA KAZIM (MD)'s NPI currently valid?
The extract we use shows MEHRUNISSA KAZIM (MD) as active.
What does MEHRUNISSA KAZIM (MD) treat or focus on?
Patients typically see MEHRUNISSA KAZIM (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for MEHRUNISSA KAZIM (MD)?
We surface Louisville, Kentucky for MEHRUNISSA KAZIM (MD) based on available NPPES addresses.
How can I contact MEHRUNISSA KAZIM (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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