Active NPI
Mazen Alkahwaji Almidani, MD
- Neurology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME145860
- Practice address
- 11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206 - Phone
- (239) 208-2212
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 61
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1578079000
GA
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
GA
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
IL
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
TX
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
Hospital
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Piedmont Athens Hospitalist Physicians LLCLakeland Medical PracticesSt. Joseph Hospital of Nashua NHPiedmont Hospitalist Physicians LLCSummit Healthcare AssociationVirtual Neurology LLCNchmd IncVirtual Neurology PCVirtual Neurology Texas PLLCUpson Medical Associates LLCConcord Hospital-LaconiaBaptist Health Medical Group Inc
Practice addresses (Care Compare)
1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8300
172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375
28585 Bass Blvd
Harlingen, TX 78552-2102
Phone (855) 201-6912
350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100
503 Ave a
Apt 1251
San Antonio, TX 78215-1275
Phone (239) 208-2212
534 Windward Dr
Murphy, TX 75094-5311
Phone (239) 208-2212
80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275
Hospital & facility affiliations
- Christus Spohn Hospital Corpus Christi
- Christus St Vincent Regional Medical Center
- CHI Health St. Elizabeth
- McLeod Loris Hospital
- Winter Haven Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL, MT, MI, FL, IA, GA, AZ, NH, WA, OR, ND, KY, PA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 16
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120913000185 | TX | Practitioner - Pediatric Medicine | 4587667282 | Reassigns benefits to 3 organizations |
| I20200527003029 | IL | Practitioner - Neurology | 4587667282 | Reassigns benefits to 2 organizations |
| I20200707000281 | MT | Practitioner - Neurology | 4587667282 | Reassigns benefits to 1 organization |
| I20200710001132 | MI | Practitioner - Neurology | 4587667282 | Reassigns benefits to 1 organization |
| I20200813002030 | FL | Practitioner - Neurology | 4587667282 | Reassigns benefits to 1 organization |
| I20200814001977 | IA | Practitioner - Psychiatry | 4587667282 | |
| I20200904000149 | GA | Practitioner - Neurology | 4587667282 | Reassigns benefits to 4 organizations |
| I20201008002239 | AZ | Practitioner - Neurology | 4587667282 | Reassigns benefits to 1 organization |
| I20201019002486 | NH | Practitioner - Neurology | 4587667282 | Reassigns benefits to 4 organizations |
| I20211018003009 | WA | Practitioner - Pediatric Medicine | 4587667282 | Reassigns benefits to 1 organization |
| I20211021001074 | OR | Practitioner - Pediatric Medicine | 4587667282 | Reassigns benefits to 1 organization |
| I20220419002824 | ND | Practitioner - Neurology | 4587667282 | Reassigns benefits to 1 organization |
| I20220914003358 | KY | Practitioner - Neurology | 4587667282 | Reassigns benefits to 1 organization |
| I20230412001177 | PA | Practitioner - Neurology | 4587667282 | Reassigns benefits to 1 organization |
| I20240611002430 | TX | Practitioner - Neurology | 4587667282 | Reassigns benefits to 4 organizations |
| I20240730003417 | OK | Practitioner - Neurology | 4587667282 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19959 | NV | MD | Pharmacist |
| EMC0000390 | MI | MD | Neurology Physician |
| 88177 | MT | MD | Neurology Physician |
| 0431597 | KS | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 2011018253 | MO | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 20615 | NH | MD | Neurology with Special Qualifications in Child Neurology Physician |
| MD200313 | OR | MD | Neurology with Special Qualifications in Child Neurology Physician |
| MD61083649 | WA | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles (48 of 50)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Warren Clinic Inc | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Piedmont Athens Hospitalist Physicians LLC | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Neurology | Current | Accepting new patients |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Neurology | Current | Accepting new patients |
| Virtual Neurology Kansas, LLC | Neurology | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Upson Medical Associates LLC | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Concord Hospital-Laconia | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Upson County Hospital Inc | Neurology | Current | Accepting new patients |
| North Mississippi Medical Center Inc. | Neurology | Current | Accepting new patients |
| Landmark Hospital of Southwest Florida, LLC | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Upson County Hospital Inc | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Neurology | Current | Accepting new patients |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Piedmont Hospitalist Physicians LLC | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Concord Hospital-Franklin | Current | Accepting new patients | |
| Nchmd, Inc | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
| Summit Healthcare Association | Neurology | Current | Accepting new patients |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| Piedmont Athens Specialty Care LLC | Past | Accepting new patients | |
| Cep America - Neurology PC | Neurology | Past | Accepting new patients |
| MN Imaging Center | Past | Accepting new patients | |
| Saint Francis Hospital, Inc. | Past | Accepting new patients | |
| Altru Health System | Past | Accepting new patients | |
| Virtualhealthconnect LLC | Neurology | Past | Accepting new patients |
Locations (25 of 48)
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
9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206
11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
7694 Solutions Ctr
Chicago, IL 60677
420 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 655-2343
1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- malmidani394644@carolinashealthcaresystem.direct-ci.com
- malmidani4030699@direct.trinity-health.org
Specialties & licenses 13
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 88177 | MT | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | N1525 | TX | |
| Neurology Physician | 2084N0400X | N1525 | TX | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 0431597 | KS | |
| Neurology Physician | 2084N0400X | ME145860 | FL | Primary |
| Neurology Physician | 2084N0400X | MD475785 | PA | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 35.139888 | OH | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 20615 | NH | |
| Neurology Physician | 2084N0400X | 61570 | AZ | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | MD200313 | OR | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 2011018253 | MO | |
| Neurology Physician | 2084N0400X | EMC0000390 | MI | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | MD61083649 | WA |
Addresses
NPPES NPI RegistryPrimary practice location
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Mailing address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212
Other practice location 1
1250 S Cedar Crest Blvd Ste 405
Allentown, PA 18103-6224
Phone (610) 402-8420
Other practice location 2
2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 336-2000
Other practice location 3
5323 Harry Hines Blvd.
Dallas, TX 75390-7208
Phone (214) 456-5220
Other practice location 4
2211 NE 139th St
Vancouver, WA 98686-2742
Phone (503) 413-8407
Other practice location 5
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8282
Other practice location 6
630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000
Electronic endpoints 2
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | malmidani747786@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2026.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1912936725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11215 METRO PKWY STE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661206",
"telephone_number": "239-208-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11215 METRO PKWY STE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661206",
"telephone_number": "239-208-2212"
}
],
"practiceLocations": [
{
"address_1": "1250 S Cedar Crest Blvd Ste 405",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181036224",
"country_code": "US",
"telephone_number": "610-402-8420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 S Avenue A",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853647127",
"country_code": "US",
"telephone_number": "928-336-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5323 Harry Hines Blvd.",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "753907208",
"country_code": "US",
"telephone_number": "214-456-5220",
"fax_number": "214-456-5212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2211 NE 139th St",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986862742",
"country_code": "US",
"telephone_number": "503-413-8407",
"fax_number": "503-413-6951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1234 Napier Ave",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MI",
"postal_code": "490852112",
"country_code": "US",
"telephone_number": "269-983-8282",
"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": "ALMIDANI",
"first_name": "MAZEN",
"middle_name": "ALKAHWAJI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MT",
"license": "88177",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "TX",
"license": "N1525",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "N1525",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "KS",
"license": "0431597",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME145860",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD475785",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "OH",
"license": "35.139888",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NH",
"license": "20615",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "61570",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "OR",
"license": "MD200313",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "MO",
"license": "2011018253",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "EMC0000390",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "WA",
"license": "MD61083649",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "malmidani747786@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"
},
{
"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"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.