Hisham Alrefai, MD
NPI 1811962350 · Endocrinology, Diabetes & Metabolism Physician · Louisville, KY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hisham Alrefai, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Louisville, KY (NPI 1811962350).
Provider details
- NPI number
- 1811962350
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01055359A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,497 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 1,042 | $78 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 270 | $108 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 73 | $29 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 60 | $96 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 52 | $144 |
Typical Medicare-allowed amounts for these services range $29–$144 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 116 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 818 | 184 |
| Levothyroxine Sodiumbrand: Synthroid | 626 | 144 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 504 | 163 |
| Levothyroxine Sodium | 460 | 126 |
| Insulin Pump Cart,auto,bt,g6/7brand: Omnipod 5 Dexg7g6 Pods (gen 5) | 408 | 86 |
| Metformin Hcl | 370 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$56,183 across 307 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1230 Woodland Dr Ste 208Elizabethtown, KY 42701-2792Phone: (502) 895-8218Fax: (502) 895-8219
Registry dates
- Enumerated
- 2006-02-20
- Last updated
- 2024-02-09
- Certified
- 2024-02-09
Frequently asked questions
- What is Hisham Alrefai's NPI number?
- Hisham Alrefai's National Provider Identifier (NPI) is 1811962350, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hisham Alrefai's specialty?
- Hisham Alrefai is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Hisham Alrefai located?
- Hisham Alrefai's practice location on file with NPPES is 9720 Park Plaza Ave Unit 104, Louisville, KY 40241-2289.
- What is Hisham Alrefai's phone number?
- The practice phone number listed in the NPPES registry for Hisham Alrefai is (502) 895-8218.
- Does Hisham Alrefai accept Medicare?
- Hisham Alrefai is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hisham Alrefai's NPI active?
- Yes — Hisham Alrefai's NPI (1811962350) is active in the NPPES registry as of the last update on 2024-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.