Mena Shehata
Individual provider Active NPI Pulmonary Disease Physician · Ashland, KY
NPI 1609227255 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1609227255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 56895 (KY)
- Practice address
- 613 23Rd St Ste G10
Ashland, KY 41101-2886 - Phone
- (606) 408-5864
- Fax
- (606) 408-6499
- NPI assigned
- Jun 24, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Logan Physician Practice LLC
Bowling Green-Warren County Community Hospital Corporation
Kings Daughters Medical Specialties Inc
Practice addresses (Care Compare)
128 Sugar Maple Dr
Auburn, KY 42206-5352
Phone (270) 542-5500
613 23Rd St
Suite G10
Ashland, KY 41101-2886
Phone (606) 408-5864
Hospital & facility affiliations
- King'S Daughters' Medical Center
- Kings Daughters Medical Center Ohio
- The Medical Center (Bowling Green)
- Three Rivers Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.04 of 100
- Quality
- 60.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.81
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220811000956 | KY | Practitioner - Pulmonary Disease |
9537448212 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King'S Daughters Medical Specialties, Inc. | Current |
Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current |
Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Pulmonary Disease | Past | Accepting new patients |
Locations
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
613 23rd St
Ste G10
Ashland, KY 41101
Phone (606) 329-1997
Interoperability endpoints
- mshehata85914@direct.kdhealth.us
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 56895 | KY | |
| Pulmonary Disease Physician | 207RP1001X | 56895 | KY | Yes |
Addresses
Primary practice location
613 23Rd St Ste G10
Ashland, KY 41101-2886
Mailing address
PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200
Other providers in Ashland, KY
- Desirae Sharp
- Wendy Jo Sharp
- Shawn Gorden MD PSC
- Shawn Gorden MD, PSC
- Jean S Shay
- Charlie Gail Shelton
- Emily Danielle Shelton
- Ronnie M Shelton
- Jay Allen Shepherd
- Christina Sheppard
All providers in Ashland, KY · Pulmonary Disease Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.