Thomas Lee Mahoney, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Ashland, KY
NPI 1659397404 · NPPES record last updated Dec 1, 2021
Key facts
- NPI
- 1659397404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 48572 (KY)
- Practice address
- 617 23Rd St
Suite 415
Ashland, KY 41101-2880 - Phone
- (606) 325-6888
- Fax
- (606) 326-9368
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Sanford School of Medicine of University of South Dakota, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kings Daughters Medical Specialties Inc
Practice addresses (Care Compare)
2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000
Hospital & facility affiliations
- King'S Daughters' 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 |
|---|---|---|---|---|
| I20150828002071 | KY | Practitioner - Obstetrics/Gynecology | 9234163841 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48572 | KY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King'S Daughters Medical Specialties, Inc. | Current |
Accepting new patients | |
| Obhg Kentucky, P.S.C. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Kings Daughters Medical Specialties Inc | Current |
Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Fox Valley Reproductive Medicine, S.C. | Obstetrics & Gynecology | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Ashland Hospital Corporation | Past | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Past | Accepting new patients |
Locations
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
617 23rd St
Ste 415
Ashland, KY 41101
Phone (606) 325-1200
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
Interoperability endpoints
- tmahoney79387@direct.kdhealth.us
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 48572 | KY | Yes |
Addresses
Primary practice location
617 23Rd St
Suite 415
Ashland, KY 41101-2880
Mailing address
PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31491200 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmahoney52782@direct.kdhealth.us | Health Information Exchange (HIE) |
Other providers in Ashland, KY
- Libbia A Maddox
- Maddy Ryan Beauty Artistry
- Mukesh Kumar Madupur
- Tamara J Maggard
- Justin Mahlmeister
- Erin Majewski
- Ryan Patrick Majher
- Malcolm H. King, PSC
- Julie Mallin
- Ashley Malone
All providers in Ashland, KY · Obstetrics & Gynecology 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 Dec 1, 2021. 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.