HISHAM A ALREFAI (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1811962350
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,216 INTERNAL MEDICINE in KY
Provider Addresses for HISHAM A ALREFAI (MD)
3906 S DUPONT SQ
LOUISVILLE, KY 402074647
Phone: (502) 895-8218
Fax: (502) 895-8219
Type: Mailing
1230 Woodland Dr Ste 208
Elizabethtown, KY 427012792
Phone: (502) 895-8218
Fax: (502) 895-8219
Type: Location
9720 PARK PLAZA AVE UNIT 104
LOUISVILLE, KY 402412289
Phone: (502) 895-8218
Fax: (502) 895-8219
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 579 Open Payments records for all available years, with a total value of $79,497.
Total Amount is formed as General ($79,497) + Research ($0) + Ownership ($0) = $79,497.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($37,502).
Total Amount
$79,497
General + Research + Ownership
Payments
579
Total payment records
General Amount
$79,497
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $37,502 |
| Corcept Therapeutics | $20,795 |
| Novo Nordisk Inc | $13,839 |
| CeQur Corporation | $676 |
| Medtronic, Inc. | $385 |
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: 2013-08-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1013 days ago).
Enrollment records
1
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130821000479 | I | Internal Medicine | KY | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 758 | 462 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 562 | 313 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 78 | 78 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 57 | 35 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 38 | 38 | $0 |
Insurance plans in this area (ZIP 40207)
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