Individual provider Active NPI

Mahmoud Khanji

  • Neonatal-Perinatal Medicine Physician
  • Lexington, KY
National Provider Identifier
1598445926
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
FT659 Issued in KY
Practice address
1000 S Limestone University of Kentucky
Lexington, KY 40536-0001
Phone
(859) 257-1000
NPI assigned
Jul 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080N0001X FT659 KY Primary

Addresses

Primary practice location

1000 S Limestone University of Kentucky
Lexington, KY 40536-0001

Mailing address

3526 Creekwood Dr Apt 9
Lexington, KY 40502-6505
Phone (859) 312-0793

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002000437 KY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5890149488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1598445926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 CREEKWOOD DR APT 9",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026505",
            "telephone_number": "859-312-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S LIMESTONE UNIVERSITY OF KENTUCKY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-257-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANJI",
        "first_name": "MAHMOUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "KY",
            "license": "FT659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.