SAMUEL RUME AYA (MD) – Emergency Medicine Physician, NPI 1154748382

SAMUEL RUME AYA (MD) is a healthcare provider. based in Louisville, Kentucky. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD2020-0657 (NM). The NPI Number for SAMUEL RUME AYA (MD) is 1154748382

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL RUME AYA (MD)
NPI
1154748382
Phone
(502) 852-5689
Address
530 SOUTH JACKSON ST, #C1H17
Enumeration Date
26 March 2014
Last Update Date
27 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
3613542000
Graduation Year
2014 (12 years ago)
PAC ID
1850601683
Group Practice PAC ID
6204280480
Professional Enrollment ID
I20200107000197
Address ID
TX781025312BE1500XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

886 EMERGENCY MEDICINE in KY

Provider Addresses for SAMUEL RUME AYA (MD)

  • 530 SOUTH JACKSON ST, #C1H17

    DEPARTMENT OF EMERGENCY MEDICINE

    LOUISVILLE, KY 40202

    Phone: (502) 852-5689

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20160531001522IEmergency MedicineKYTBD
I20200107000197IEmergency MedicineTXTBD
I20201119000925IEmergency MedicineLATBD
I20221202002021IEmergency MedicineMSTBD

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
99285Emergency department visit with high level of medical decision making117116$0
99284Emergency department visit with moderate level of medical decision making8179$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3130$0
99283Emergency department visit with low level of medical decision making1212$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: 6204280480View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineID
Nurse PractitionerTX
Emergency MedicineTX
Family Practice, Emergency MedicineTX
Nurse PractitionerFL
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineGA
Emergency MedicineAZ

Reviews

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Frequently asked questions

Is there an official ID for SAMUEL RUME AYA (MD) in U.S. healthcare records?
The official identifier for SAMUEL RUME AYA (MD) is NPI 1154748382.
Would SAMUEL RUME AYA (MD) appear as active to a payer?
You can treat SAMUEL RUME AYA (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is SAMUEL RUME AYA (MD)?
SAMUEL RUME AYA (MD) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is SAMUEL RUME AYA (MD) located near Louisville?
SAMUEL RUME AYA (MD) currently maps to Louisville, Kentucky in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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