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
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 13

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

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

TypeEndpointUseAffiliation
Direct Messaging Address malmidani747786@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

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.

Enrollment records 16

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

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 LLCGroup PAC ID 6305196411, 174 clinicians
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Virtual Neurology PCGroup PAC ID 4981087897, 57 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Upson Medical Associates LLCGroup PAC ID 8729074059, 89 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19959NVMDPharmacist
61570AZMDNeurology Physician
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
N1525TXMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

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

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

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

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

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

420 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 655-2343

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

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

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

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

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

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
  • Direct secure messaging: malmidani747786@direct.ketteringhealth.org

Organizations & group practices 53

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 53

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": "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.