Active NPI
Durkhani Mahboob, M.D.
- Rheumatology Physician
- Plant City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- ME132675
- Practice address
- 511 W Alexander St
Plant City, FL 33563-7116 - Phone
- (863) 284-5115
- Fax
- (863) 284-1916
- NPI assigned
- Nov 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2012019222 | MO | |
| Hospitalist Physician | 208M00000X | 2012019222 | MO | |
| Rheumatology Physician | 207RR0500X | ME132675 | FL | Primary |
Addresses
Primary practice location
511 W Alexander St
Plant City, FL 33563-7116
Mailing address
1324 Lakeland Hills Blvd.
Attn: Managed Care Dept.
Lakeland, FL 33805
Other practice location 1
1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-4570
Other practice location 2
3030 Harden Blvd
Lakeland, FL 33803-7952
Phone (863) 284-5112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Ashland Dr
Suite G2
Ashland, KY 41101-7084
Phone (606) 408-5864
Hospital & facility affiliations
- King'S Daughters' Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 64.08
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012019222 | MO | MD | Internal Medicine Physician |
| ME132675 | FL | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Daughters Medical Specialties Inc | Internal Medicine | Current | Accepting new patients |
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients |
Locations
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222
511 W Alexander St
Plant City, FL 33563
Phone (813) 719-7246
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
1000 Ashland Dr
Ste G2
Ashland, KY 41101
Phone (606) 408-5864
Interoperability endpoints
- dmahboob17937@lrhs.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Prestonsburg, KY
- NPI 1710215736
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
- Radiation Oncology Physician
- Ashland, KY
- NPI 1699565176
-
- Gastroenterology Physician
- Ashland, KY
- NPI 1861718199
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1346577558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 LAKELAND HILLS BLVD.",
"address_2": "ATTN: MANAGED CARE DEPT.",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 W ALEXANDER ST",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335637116",
"telephone_number": "863-284-5115",
"fax_number": "863-284-1916"
}
],
"practiceLocations": [
{
"address_1": "1102 W 32nd St",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "648043503",
"country_code": "US",
"telephone_number": "417-347-4570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3030 Harden Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338037952",
"country_code": "US",
"telephone_number": "863-284-5112",
"fax_number": "863-413-4739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHBOOB",
"first_name": "DURKHANI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2012019222",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2012019222",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME132675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.