MAZEN JR. KHAYAT (M.D.) – Emergency Medicine Physician, NPI 1285681312

MAZEN JR. KHAYAT (M.D.) is a healthcare provider. based in Louisville, Kentucky. specializing in INTERNAL MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 01044238A (IN). The NPI Number for MAZEN JR. KHAYAT (M.D.) is 1285681312

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
MAZEN JR. KHAYAT (M.D.)
NPI
1285681312
Phone
(502) 589-9310
Address
801 BARRET AVE
Enumeration Date
26 May 2006
Last Update Date
5 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8597345441
Graduation Year
1977 (49 years ago)
PAC ID
9931123262
Group Practice PAC ID
9436577517
Professional Enrollment ID
I20070315000231
Address ID
KY403301882HA464XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

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Provider Addresses for MAZEN JR. KHAYAT (M.D.)

  • 801, Barret Avenue, Louisville, Jefferson County, Kentucky, 40204, United States

    SUITE 104

    LOUISVILLE, KY 402041747

    Phone: (502) 589-9310

    Fax: (502) 583-5560

    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: 2007-03-15

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
I20060125000443IEmergency MedicineINTBD
I20070315000231IInternal MedicineKYTBD

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
99284Emergency department visit with moderate level of medical decision making103101$0
99285Emergency department visit with high level of medical decision making10199$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4643$0
99291Critical care, first 30-74 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 40204)

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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: 9436577517View full group profile
NameSpecialtyState
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineMO
Emergency MedicineKY
Emergency MedicineKY
Physician AssistantKY
Emergency MedicineKY
Emergency MedicineNC
Emergency MedicineKY

Reviews

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Frequently asked questions

Can I use this page to confirm MAZEN JR. KHAYAT (M.D.)'s NPI?
Yes. MAZEN JR. KHAYAT (M.D.) is listed with NPI 1285681312 in the public NPI dataset.
Does the file indicate MAZEN JR. KHAYAT (M.D.) is practicing under active NPI?
Directory data currently reports MAZEN JR. KHAYAT (M.D.) as active.
What is MAZEN JR. KHAYAT (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for MAZEN JR. KHAYAT (M.D.) here. Clinical services aligned with this taxonomy classification.
Does MAZEN JR. KHAYAT (M.D.) list a practice location?
Patients near Louisville, Kentucky may find MAZEN JR. KHAYAT (M.D.) in results; validate coverage separately.
Is the information about MAZEN JR. KHAYAT (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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