NEERAJ MAHBOOB (MD) – Internal Medicine Physician, NPI 1073524062
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,216 INTERNAL MEDICINE in KY
Provider Addresses for NEERAJ MAHBOOB (MD)
515 Memorial Dr
Ste 3
Manchester, KY 409629157
Phone: (606) 599-0864
Fax: (606) 599-0869
Type: Location
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone:
Type: Mailing
601 VERSAILLES RD
FRANKFORT, KY 406013857
Phone: (502) 695-3946
Fax: (877) 569-3088
Type: Location
515, Memorial Drive, Manchester, Clay County, Kentucky, 40962, United States
STE 3
MANCHESTER, KY 409629157
Phone: (606) 599-0864
Fax: (606) 599-0864
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $453.
Total Amount is formed as General ($453) + Research ($0) + Ownership ($0) = $453.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($149).
Total Amount
$453
General + Research + Ownership
Payments
11
Total payment records
General Amount
$453
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $149 |
| Abbott Laboratories | $105 |
| Baxter Healthcare | $44 |
| Indivior Inc. | $41 |
| PFIZER INC. | $25 |
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: 2023-08-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040901001198 | I | Internal Medicine | KY | TBD |
| I20230810000286 | I | Internal Medicine | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40962)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY |
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