Individual provider Active NPI

Mazen Alkahwaji Almidani, MD

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1912936725
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME145860 Issued in FL
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.

View all 61

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 LLC 174 clinicians
Lakeland Medical Practices 286 clinicians
St. Joseph Hospital of Nashua NH 271 clinicians
Piedmont Hospitalist Physicians LLC 503 clinicians
Summit Healthcare Association 78 clinicians
Virtual Neurology LLC 161 clinicians
Nchmd Inc 503 clinicians
Virtual Neurology PC 57 clinicians
Virtual Neurology Texas PLLC 151 clinicians
Upson Medical Associates LLC 89 clinicians
Concord Hospital-Laconia 275 clinicians
Baptist Health Medical Group Inc 2,431 clinicians

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 Hospital, Corpus Christi, TX, CCN 450046
  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052

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, OK16 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.

Medicare enrollment records 16

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120913000185 TX Practitioner - Pediatric MedicinePractitioner - Other (Physician) 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 MedicinePractitioner - Neurology 4587667282 Reassigns benefits to 1 organization
I20211021001074 OR Practitioner - Pediatric MedicinePractitioner - Neurology 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 - NeurologyPractitioner - Pediatric Medicine 4587667282 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19959NVMDPharmacist
EMC0000390MIMDNeurology Physician
88177MTMDNeurology Physician
0431597KSMDNeurology with Special Qualifications in Child Neurology Physician
2011018253MOMDNeurology with Special Qualifications in Child Neurology Physician
20615NHMDNeurology with Special Qualifications in Child Neurology Physician
MD200313ORMDNeurology with Special Qualifications in Child Neurology Physician
MD61083649WAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles (48 of 50)

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Sep 29, 2020 Accepting new patients
Warren Clinic Inc CurrentSince Jul 1, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 16, 2021 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Aug 16, 2020 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Aug 16, 2020 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Sep 29, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Nchmd Inc Current Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Jul 1, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 29, 2022 Accepting new patients
Lehigh Valley Physician Group Neurology CurrentSince Dec 29, 2022 Accepting new patients
Benefis Hospitals Inc CurrentSince Jun 16, 2020 Accepting new patients
Baptist Health Medical Group Inc Neurology Current Accepting new patients
Virtual Neurology Kansas, LLC Neurology CurrentSince Sep 11, 2024 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 1, 2012 Accepting new patients
Altru Health System CurrentSince Mar 24, 2022 Accepting new patients
Upson Medical Associates LLC CurrentSince Oct 1, 2025 Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Concord Hospital-Laconia CurrentSince May 7, 2022 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 1, 2020 Accepting new patients
Altru Health System CurrentSince Mar 24, 2022 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 16, 2021 Accepting new patients
Upson County Hospital Inc Neurology CurrentSince Nov 15, 2021 Accepting new patients
North Mississippi Medical Center Inc. Neurology CurrentSince May 10, 2025 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Apr 1, 2023 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jul 16, 2021 Accepting new patients
Upson County Hospital Inc CurrentSince Nov 15, 2021 Accepting new patients
Lehigh Valley Physician Group Neurology Current Accepting new patients
Lakeland Medical Practices CurrentSince Jul 1, 2020 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Jul 1, 2020 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Sep 1, 2023 Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Sep 1, 2023 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Nchmd, Inc CurrentSince Apr 1, 2023 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jul 16, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Neurology With Special Qualifications in Child Neurology CurrentSince Aug 1, 2012 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Nov 1, 2020 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince May 10, 2025 Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Cep America - Neurology PC Neurology Past Accepting new patients
MN Imaging Center PastSince Jul 25, 2019 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

  • Direct secure messaging: malmidani394644@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: malmidani4030699@direct.trinity-health.org

Specialties & licenses 13

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
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 Registry

Primary 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
TypeEndpointUseAffiliation
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

Verify at the official NPI Registry.