NPIMap

Individual provider Active NPI

Mena Shehata

  • Pulmonary Disease Physician
  • Ashland, KY
National Provider Identifier
1609227255
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
56895 Issued in 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
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 56895 KY
Pulmonary Disease Physician 207RP1001X 56895 KY Primary

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 practice location 1

30 W McCreight Ave
Springfield, OH 45504-1842
Phone (937) 610-3800

Other practice location 2

9001 N Main St Ste A
Dayton, OH 45415-1154
Phone (937) 832-0990

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
I20220811000956 KY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9537448212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Logan Physician Practice LLCGroup PAC ID 4880596592, 6 clinicians
Bowling Green-Warren County Community Hospital CorporationGroup PAC ID 7719899947, shared by 26 NPIs, 117 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56895KYMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King's Daughters Medical Specialties, Inc. CurrentSince Jul 30, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jul 30, 2022 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

  • Direct secure messaging: mshehata85914@direct.kdhealth.us

Organizations & group practices 5

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 4

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1609227255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE G10",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012886",
            "telephone_number": "606-408-5864",
            "fax_number": "606-408-6499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 W McCreight Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455041842",
            "country_code": "US",
            "telephone_number": "937-610-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9001 N Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454151154",
            "country_code": "US",
            "telephone_number": "937-832-0990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEHATA",
        "first_name": "MENA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "56895",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "56895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.