Neeraj Mahboob Internal Medicine PSC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

900231 Issued in KY

Legal business name

NEERAJ MAHBOOB INTERNAL MEDICINE PSC

Practice address

515 Memorial Dr
Ste 3
Manchester, KY 40962-9157

Phone

(606) 599-0864

Fax

(606) 599-0869

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Neeraj Mahboob, MDNPI 1073524062

Title

Owner/Physician

Phone

(606) 599-0169

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Medical Associates of Southeast Kentucky Doing business as

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

Rural health clinic certification: CCN 188900

Legal name

NEERAJ MAHBOOB INTERNAL MEDICINE PSC

Doing business as

MEDICAL ASSOCIATES OF SOUTHEAST KENTUCKY

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Mar 22, 2010

Last certification

Apr 25, 2017

Ownership / control type

1A

Organization structure

CorporationProprietary

Incorporated

Dec 2, 2002 in KY

Enrollment address

515 Memorial Dr 3
Manchester, KY 40962-9157

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Neeraj Mahboob, MD

  • Internal Medicine Physician
  • Frankfort, KY
  • NPI 1073524062

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neeraj Mahboob, MD

  • Internal Medicine Physician
  • Frankfort, KY
  • NPI 1073524062
  Medicare reassignment NPD Authorized official
• Candice J Fox, APRN

  • Nurse Practitioner
  • Corbin, KY
  • NPI 1417591918
  Medicare reassignment NPD
• Janet Y Mosley, APRN

  • Family Nurse Practitioner
  • Gray, KY
  • NPI 1700159886
  Medicare reassignment NPD
• Teresa Lynn Parker, APRN

  • Family Nurse Practitioner
  • London, KY
  • NPI 1669671863
  Medicare reassignment NPD
• Mazhar Salim, M.D.

  • Psychiatry Physician
  • Corbin, KY
  • NPI 1013075449
  Medicare reassignment NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1407867484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MEMORIAL DR",
            "address_2": "STE 3",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409629157",
            "telephone_number": "606-599-0864",
            "fax_number": "606-599-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MEMORIAL DR",
            "address_2": "STE 3",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409629157",
            "telephone_number": "606-599-0864",
            "fax_number": "606-599-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEERAJ MAHBOOB INTERNAL MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "MAHBOOB",
        "authorized_official_first_name": "NEERAJ",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "606-599-0169",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "700127",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": "900231",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RURAL HEALTH PROVIDER NUMBER",
            "identifier": "18-8900",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31-000797",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100137660",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Associates of Southeast Kentucky",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron Richard Napier, FNP-C
• Carol Jean Napier
• Jessica Napier, PA
• Natalie France PLLC
• Rajiv M Naval Srinivas, M.D.
• Bethsheba Alexander Nieto, LPCC, NCC
• Ashtin Danielle Nix, M.D.
• Jennifer Nolan, PHARMD
• Jayme Elizabeth Norman, APRN
• Misty April Nunn, LCSW

• Rural Health Clinic/Center in Manchester, KY
• Providers in Manchester, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.