DR. FAIZ M UDDIN (MD) – Family Medicine Physician, NPI 1114900016

DR. FAIZ M UDDIN (MD) is a healthcare provider. based in Elizabethtown, Kentucky. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. KY38224 (KY). The NPI Number for DR. FAIZ M UDDIN (MD) is 1114900016

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. FAIZ M UDDIN (MD)
NPI
1114900016
Phone
(859) 539-9905
Address
175 MARY LEE ST
Enumeration Date
23 November 2005
Last Update Date
30 August 2016

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2709824776
Graduation Year
2000 (26 years ago)
PAC ID
1052490166
Group Practice PAC ID
0143139337
Professional Enrollment ID
I20080430000711
Address ID
KY427017873EL4031XHWYX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,717 FAMILY PRACTICE in KY

Loading map...

Provider Addresses for DR. FAIZ M UDDIN (MD)

  • 175 MARY LEE ST

    ELIZABETHTOWN, KY 427014481

    Phone: (859) 539-9905

    Type: Mailing

  • 102, West Lincoln Trail Boulevard, Vine Grove Junction, Radcliff, Hardin County, Kentucky, 40160, United States

    RADCLIFF, KY 401602671

    Phone: (270) 351-3515

    Fax: (270) 351-7506

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $912.

Total Amount is formed as General ($912) + Research ($0) + Ownership ($0) = $912.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($371).

Total Amount

$912

General + Research + Ownership

Payments

56

Total payment records

General Amount

$912

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2008-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20080430000711IFamily PracticeKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes46398$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month44863$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month43563$0
99442Telephone medical discussion with physician, 11-20 minutes41296$0
99443Telephone medical discussion with physician, 21-30 minutes10549$0
View full utilization report →

Insurance plans in this area (ZIP 42701)

Loading plans...

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: 0143139337View full group profile
NameSpecialtyState
Nurse PractitionerKY
N E U R O S U R G E R YKY
-KY
Internal MedicineKY
Orthopedic SurgeryKY
Orthopedic SurgeryIL
Nurse PractitionerKY
Nurse PractitionerKY
N E U R O L O G YKY
Orthopedic SurgeryKY

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is DR. FAIZ M UDDIN (MD) listed with a National Provider Identifier?
Yes — DR. FAIZ M UDDIN (MD) has NPI 1114900016 on file in the registry.
Would DR. FAIZ M UDDIN (MD) appear as active to a payer?
You can treat DR. FAIZ M UDDIN (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. FAIZ M UDDIN (MD)?
DR. FAIZ M UDDIN (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. FAIZ M UDDIN (MD)?
Travel planning: use Elizabethtown, Kentucky as the reference point for DR. FAIZ M UDDIN (MD), then confirm.
When was this NPI issued?
Enumeration for DR. FAIZ M UDDIN (MD) is noted as November 23, 2005 where the registry provides it.