DR. SAMUEL HOUSSAM MARDINI MD NPI 1780622761

NPI Information

  • NPI: 1780622761
  • Provider Name: DR. SAMUEL HOUSSAM MARDINI, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: UK DIVISION OF DIGESTIVE DISEASES
    800 ROSE ST, MN654
    LEXINGTON, KY
    ZIP 40536
  • Phone: (859) 323-0079

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NPI Details

DR. Samuel Houssam Mardini, MD is a gastroenterology internal medicine in Lexington, KY with 34 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Samuel Houssam Mardini, MD NPI is 1780622761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

UK DIVISION OF DIGESTIVE DISEASES
800 ROSE ST, MN654
LEXINGTON, KY
ZIP 40536-298
Phone: (859) 323-0079
Fax: (859) 257-9287

The NPI 1780622761 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of stent into pancreatic or bile duct using a flexible endoscope (HCPCS:43274)
  • Removal of stone or debris from bile or pancreatic duct using a flexible endoscope (HCPCS:43264)
  • Removal of stent from pancreatic or bile duct using a flexible endoscope (HCPCS:43275)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Biopsy of gallbladder, pancreatic, liver, and bile ducts using a flexible endoscope (HCPCS:43261)
  • Balloon dilation of pancreatic or bile duct or sphincter using a flexible endoscope (HCPCS:43277)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth (HCPCS:43237)
  • Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope (HCPCS:43238)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Replacement of stent in pancreatic or bile duct using a flexible endoscope (HCPCS:43276)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Other procedure on stomach (HCPCS:43999)
  • Incision of pancreatic outlet using a flexible endoscope (HCPCS:43262)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 6/3/2006 and was last updated on 11/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology24021WEST VIRGINIANo
2207R00000XInternal Medicine24021WEST VIRGINIANo
3207RG0100XInternal MedicineGastroenterology37438KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H66206MEDICARE UPINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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