NPIMap

Individual provider Active NPI

Mahesh K. Moolani, M.D.

  • Internal Medicine Physician
  • Owensboro, KY
National Provider Identifier
1124076831
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38505 Issued in KY
Practice address
1200 Breckenridge St
Owensboro, KY 42303-1090
Phone
(270) 685-8224
Fax
(270) 685-8228
NPI assigned
May 5, 2006
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38505 KY Primary

Addresses

Primary practice location

1200 Breckenridge St
Owensboro, KY 42303-1090

Mailing address

1200 Breckenridge St
Owensboro, KY 42303-1090
Phone (270) 684-0028

Other practice location 1

215 Hill Street
Livermore, KY 42352
Phone (270) 278-2531

Other identifiers 3

IdentifierTypeStateIssuer
P00473282OtherKYRR MEDICARE
64090731MedicaidKY
000000514448OtherKYATNEM BLUE CROSS AND BLUE SHEILD

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
I20040812000490 KY Practitioner - Internal MedicinePractitioner - Family Practice 7214909811 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Medical Practice, PLLCGroup PAC ID 0446157671, 20 clinicians
Abode Care Partners LTC VB LLCGroup PAC ID 8325316516, 81 clinicians

Practice addresses (Care Compare)

215 Hill St
Livermore, KY 42352-2118
Phone (270) 278-2531

2529 Six Mile LN
Louisville, KY 40220-2934
Phone (502) 491-5560

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abode Care Partners LTC VB, LLC CurrentSince Nov 11, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Nov 11, 2024 Accepting new patients
Owensboro Medical Practice, PLLC Internal Medicine CurrentSince Jul 1, 2004 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Nov 11, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Nov 11, 2024 Accepting new patients
Cogent Healthcare of Kentucky, PSC Internal Medicine Past Accepting new patients
Owensboro Medical Practice, PLLC PastSince Jul 1, 2004 Accepting new patients
LP Owensboro II, LLC Past Accepting new patients
Wellington Parc Health Systems, Inc. Past Accepting new patients
LP Calhoun, LLC Past Accepting new patients

Locations

1100 W Everly Brothers Blvd
Central City, KY 42330
Phone (270) 757-9991

215 Hill St
Livermore, KY 42352
Phone (270) 278-2531

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

1200 Breckenridge St
Owensboro, KY 42303
Phone (270) 683-8672

1200 Breckenridge St
Ste 102
Owensboro, KY 42303
Phone (270) 683-8672

1200 Breckenridge St
Ste 201
Owensboro, KY 42303
Phone (270) 688-1900

1200 Breckenridge St
Ste 202
Owensboro, KY 42303
Phone (270) 685-8224

Interoperability endpoints

  • Direct secure messaging: mahesh.moolanimd.p1@direct.omp.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wellington Parc of OwensboroOwensboro, KY, CCN 185436 Skilled nursing facility Adp of the SNF Jan 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1124076831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BRECKENRIDGE ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031090",
            "telephone_number": "270-684-0028",
            "fax_number": "270-685-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BRECKENRIDGE ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031090",
            "telephone_number": "270-685-8224",
            "fax_number": "270-685-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Hill Street",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "KY",
            "postal_code": "42352",
            "country_code": "US",
            "telephone_number": "270-278-2531",
            "fax_number": "270-278-9221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOLANI",
        "first_name": "MAHESH",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "38505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00473282",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64090731",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATNEM BLUE CROSS AND BLUE SHEILD",
            "identifier": "000000514448",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.