Individual provider Active NPI

Mai-Lynn Bui, DO

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1730628579
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS17197 Issued in FL
Practice address
11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
NPI assigned
Feb 13, 2017
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35C.000303 OH
Neurology Physician 2084N0400X 92155 GA
Neurology Physician 2084N0400X OS17197 FL Primary

Addresses

Primary practice location

11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206

Mailing address

7031 SW 62ND Ave
South Miami,, FL 33143
Phone (770) 865-2271

Other practice location 1

1301 Sigman Rd NE
Conyers, GA 30012-3812
Phone (770) 278-0154

Other practice location 2

4603 Ginson Dr
Tucker, GA 30084-1712
Phone (770) 865-2271

Other practice location 3

7031 SW 62nd Ave
South Miami, FL 33143-4701
Phone (770) 865-2271

Other practice location 4

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Other identifiers 1

IdentifierTypeStateIssuer
1730628579MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address mbui916370@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OH, ND, KY, MI, NH6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20221009000072 GA Practitioner - Neurology 5395020838 Reassigns benefits to 6 organizations
I20240725000566 OH Practitioner - Neurology 5395020838 Reassigns benefits to 1 organization
I20240815004119 ND Practitioner - Neurology 5395020838 Reassigns benefits to 1 organization
I20241028003441 KY Practitioner - Neurology 5395020838 Reassigns benefits to 1 organization
I20250106003136 MI Practitioner - Neurology 5395020838 Reassigns benefits to 1 organization
I20250110000304 NH Practitioner - Neurology 5395020838 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Philadelphia Col of Osteo Med, Sewanee, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians

Practice addresses (Care Compare)

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

3426 Vicar LN
Scottdale, GA 30079-5604
Phone (239) 208-2212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17197FLMDNeurology Physician
92155GAMDNeurology Physician
35C.000303OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System Current Accepting new patients
Concord Hospital-Laconia CurrentSince Nov 20, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
St Joseph Hospital of Nashua NH Current Accepting new patients
Altru Health System CurrentSince Jul 25, 2024 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Aug 1, 2024 Accepting new patients
Altru Health System CurrentSince Jul 25, 2024 Accepting new patients
DCHD Health Care Professionals LLC CurrentSince Oct 25, 2024 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Apr 17, 2025 Accepting new patients
Virtual Neurology Texas PLLC Neurology CurrentSince Jun 22, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Dec 3, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Dec 3, 2024 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Virtual Neurology, LLC Neurology CurrentSince Apr 2, 2024 Accepting new patients
Upson Medical Associates LLC CurrentSince Sep 18, 2024 Accepting new patients
Baptist Health Medical Group Inc Neurology Current Accepting new patients
Virtual Neurology Kansas, LLC Neurology CurrentSince Mar 16, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

7444 Hannover Pkwy S
Ste 210
Stockbridge, GA 30281
Phone (770) 741-1750

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

Interoperability endpoints

  • Direct secure messaging: mbui2947904@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: mbui3930474@direct.trinity-health.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 5

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": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1730628579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7031 SW 62ND AVE",
            "city": "SOUTH MIAMI,",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "770-865-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Sigman Rd NE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123812",
            "country_code": "US",
            "telephone_number": "770-278-0154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4603 Ginson Dr",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300841712",
            "country_code": "US",
            "telephone_number": "770-865-2271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7031 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434701",
            "country_code": "US",
            "telephone_number": "770-865-2271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Eaton Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132767",
            "country_code": "US",
            "telephone_number": "513-867-2000",
            "fax_number": "513-867-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUI",
        "first_name": "MAI-LYNN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35C.000303",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "92155",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS17197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730628579",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbui916370@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.