Active NPI
Mai-Lynn Bui, DO
- Neurology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- OS17197
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730628579 | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS17197 | FL | MD | Neurology Physician |
| 92155 | GA | MD | Neurology Physician |
| 35C.000303 | OH | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Current | Accepting new patients | |
| Concord Hospital-Laconia | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Summit Healthcare Association | Neurology | Current | Accepting new patients |
| Altru Health System | Current | Accepting new patients | |
| DCHD Health Care Professionals LLC | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Virtual Neurology Texas PLLC | Neurology | Current | Accepting new patients |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| Concord Hospital-Franklin | Current | Accepting new patients | |
| Virtual Neurology, LLC | Neurology | Current | Accepting new patients |
| Upson Medical Associates LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Neurology | Current | Accepting new patients |
| Virtual Neurology Kansas, LLC | Neurology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | 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
- mbui2947904@carolinashealthcaresystem.direct-ci.com
- 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.
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
- Critical Access Hospital
- Franklin, NH
- NPI 1700960895
-
dba Concord Hospital-Laconia Professional Billing Service
- Family Medicine Physician
- Laconia, NH
- NPI 1053993741
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
dba Summit Healthcare Regional Medical Center
- Rural Acute Care Hospital
- Show Low, AZ
- NPI 1144209271
GA, Neurology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Heart of Florida
- General Acute Care Hospital
- Davenport, FL
- NPI 1801457510
-
dba HCA Florida Englewood Hospital
- General Acute Care Hospital
- Englewood, FL
- NPI 1639122864
-
dba HCA Florida JFK Hospital
- General Acute Care Hospital
- Atlantis, FL
- NPI 1326085424
-
dba HCA Florida Lawnwood Hospital
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
dba HCA Florida Raulerson Hospital
- General Acute Care Hospital
- Okeechobee, FL
- NPI 1215974134
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
- Kerrie L. Budagher, MSW, LCSW
- Budget Mobililty Inc
- Dexter David Buelow, RRT
- Buffalo Wheelchair, Inc. (Fort Myers Oxygen)
- Anlinh Thi Bui, PSY.D
- Building Blocks Behavior Therapy Services LLC
- Building Blocks Therapy Services LLC (Behavior Bridge Solutions)
- Building Milestones ABA Corp
- Juan Carlos Buitrago, M.D.
- Teresa A Bukaweski, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.