Active NPI
Mohammad Abdul Motalib, MD
- Internal Medicine Physician
- Lexington, KY
National Provider Identifier
1740217157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 207P00000X
- Practice address
- 830 S Limestone Street
Lexington, KY 40536-2389 - Phone
- (859) 218-3206
- NPI assigned
- Jun 28, 2006
- Last updated
- May 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 207P00000X | KY | Primary |
Addresses
Primary practice location
830 S Limestone Street
Lexington, KY 40536-2389
Mailing address
830 South Limestone Street
Lexington, KY 40536-0001
Phone (859) 218-3206
Other practice location 1
830 South Limestone Street
Lexington, KY 40536-2389
Phone (859) 218-3206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64332240 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207P00000X | KY | MD | Personal Emergency Response Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Lung & Sleep Specialists, PSC. | Past | Accepting new patients | |
| Jackson Hospital Corporation | Past | Accepting new patients | |
| Owen Emergency Physicians | Past | Accepting new patients | |
| Diagnostic Sleep Center | Past | Accepting new patients | |
| Jackson Physician Corp | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- mmotalib55548@ukhcdirect.org
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.
-
dba Cumberland, Lung, Asthma & Sleep Specialists
- Pulmonary Disease Physician
- Somerset, KY
- NPI 1669586806
-
- Sleep Disorder Diagnostic Clinic/Center
- Corbin, KY
- NPI 1831384072
-
dba Kentucky River ER, Anesth, Radiology
- Emergency Medicine Physician
- Jackson, KY
- NPI 1679774996
-
- Emergency Medicine Physician
- Owenton, KY
- NPI 1760435309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1740217157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 SOUTH LIMESTONE STREET",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001",
"telephone_number": "859-218-3206",
"fax_number": "859-257-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S LIMESTONE STREET",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405362389",
"telephone_number": "859-218-3206"
}
],
"practiceLocations": [
{
"address_1": "830 South Limestone Street",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405362389",
"country_code": "US",
"telephone_number": "859-218-3206",
"fax_number": "859-257-2625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOTALIB",
"first_name": "MOHAMMAD",
"middle_name": "ABDUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "207P00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64332240",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.