NPIMap

Individual provider Active NPI

Mohamed Magdy Khodeiry, MD, MSC

  • Ophthalmology Physician
  • Louisville, KY
National Provider Identifier
1033704358
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
FL072 Issued in KY
Practice address
301 E Muhammad Ali Blvd
Louisville, KY 40202-1511
Phone
(502) 588-0330
NPI assigned
Mar 8, 2021
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X LT000931 PA
Neuro-ophthalmology Physician 207WX0109X 32181 FL
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X FL072 KY
Ophthalmology Physician 207W00000X FL072 KY Primary

Addresses

Primary practice location

301 E Muhammad Ali Blvd
Louisville, KY 40202-1511

Mailing address

112 Washington PL Apt 508
Pittsburgh, PA 15219-4707
Phone (929) 418-9586

Other practice location 1

4401 Penn Ave
Pittsburgh, PA 15224-1334
Phone (412) 864-3283

Other practice location 2

110 Conn Ter Ste 550
Lexington, KY 40508-3206
Phone (859) 323-5867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230809003717 KY Practitioner - Ophthalmology 2163802695 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 E Muhammad Ali Blvd
Louisville, KY 40202-1511
Phone (502) 852-5466

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LT000931PAMDOphthalmology Physician
32181FLMDNeuro-ophthalmology Physician
FL072KYMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Kentucky Medical Services Foundation, Inc Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. Ophthalmology Current Accepting new patients
University of Louisville Physicians, Inc. Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Kentucky CurrentSince Jul 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

301 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 852-0710

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: mkhodeiry44494@uoflhealth-dm.org
  • Direct secure messaging: mkhodeiry71256@direct.med.miami.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1033704358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WASHINGTON PL APT 508",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152194707",
            "telephone_number": "929-418-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MUHAMMAD ALI BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021511",
            "telephone_number": "502-588-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152241334",
            "country_code": "US",
            "telephone_number": "412-864-3283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Conn Ter Ste 550",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405083206",
            "country_code": "US",
            "telephone_number": "859-323-5867",
            "fax_number": "859-323-8510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHODEIRY",
        "first_name": "MOHAMED",
        "middle_name": "MAGDY",
        "credential": "MD, MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "LT000931",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "FL",
            "license": "32181",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "KY",
            "license": "FL072",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "FL072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.