Maher A Dabit, PA-C

Key facts

NPI

1609906643

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

PA327 (KY)

Practice address

1221 S Broadway
Lexington, KY 40504-2701

Phone

(859) 258-4000

Fax

(859) 258-6203

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

No

Organizations & group practices 9

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.

• New Lexington Clinic, PSC Multi-Specialty Clinic/Center · Lexington, KY · NPI 1700803681
  Medicare reassignment NPD KY
• T J Samson Community Hospital Family Medicine Physician · Glasgow, KY · NPI 1477609865
  Medicare reassignment NPD KY · PHYSICIAN ASSISTANT
• Southeastern Emergency Physicians LLC Emergency Medicine Physician · Maysville, KY · NPI 1356379382
  Medicare reassignment KY
• Urgent Care Services Southeast PSC Family Medicine Physician · Glasgow, KY · NPI 1427831759
  Medicare reassignment KY
• New Lexington Clinic PSC Clinical Medical Laboratory · Lexington, KY · NPI 1285409425
  NPD
• Eastern Kentucky Emergency Physicians, LLC Emergency Medicine Physician · Pikeville, KY · NPI 1104870047
  NPD (past)
• Marshall Emergency Services Associates, PLLC Emergency Medicine Physician · Lexington, KY · NPI 1891737185
  NPD (past) PHYSICIAN ASSISTANT
• Our Lady of the Way Hospital, Inc Family Medicine Physician · Martin, KY · NPI 1255357364
  NPD (past)
• University of Kentucky Hospital Internal Medicine Physician · Lexington, KY · NPI 1154519668
  NPD (past)

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: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdabit288237@direct.stlukeshealth.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 27, 2023.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1609906643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-4000",
            "fax_number": "859-258-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Summit Square Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092636",
            "country_code": "US",
            "telephone_number": "859-335-9041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABIT",
        "first_name": "MAHER",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brittany Lynn Dahl, AG-ACNP APRN
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• Amy Elizabeth Dahlgren, MD
• Tiffany Ratcliff Dail, MSW, LCSW
• Angelica Dailey, M.S.W

All providers in Lexington, KY · Physician Assistant in Kentucky