Active NPI
Mashael F. Alqahtani, M.D.
- Pediatric Critical Care Medicine Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 59314
- Practice address
- Ky Children'S Hospital 800 Rose St 4TH FL
Lexington, KY 40536-7884 - Phone
- (859) 218-0921
- Fax
- (859) 257-1831
- NPI assigned
- Jul 16, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME124582 | FL | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME124582 | FL | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 59314 | KY | Primary |
Addresses
Primary practice location
Ky Children'S Hospital 800 Rose St 4TH FL
Lexington, KY 40536-7884
Mailing address
10140 Centurion Parkway N.
FL Provider Enrollment Department
Jacksonville, FL 32256-0532
Phone (904) 697-4100
Other practice location 1
6535 Nemours Pkwy
Orlando, FL 32827-7884
Phone (407) 567-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015221400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59314 | KY | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Pediatrics | Current | Accepting new patients |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| University of Kentucky | Past | Accepting new patients |
Locations
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100
6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
800 Rose St
Fl 4
Lexington, KY 40536
Phone (859) 218-2581
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
Interoperability endpoints
- malqahtani346908@ukhcdirect.org
- malqahtani54923@direct.nemours.org
Organizations & group practices 6
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
- Lexington, KY
- NPI 1326091448
Pediatrics
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1922262153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10140 CENTURION PARKWAY N.",
"address_2": "FL PROVIDER ENROLLMENT DEPARTMENT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560532",
"telephone_number": "904-697-4100",
"fax_number": "904-697-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KY CHILDREN'S HOSPITAL 800 ROSE ST 4TH FL",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405367884",
"telephone_number": "859-218-0921",
"fax_number": "859-257-1831"
}
],
"practiceLocations": [
{
"address_1": "6535 Nemours Pkwy",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328277884",
"country_code": "US",
"telephone_number": "407-567-4000",
"fax_number": "407-567-5924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALQAHTANI",
"first_name": "MASHAEL",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-16",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME124582",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME124582",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "KY",
"license": "59314",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015221400",
"state": "FL"
}
],
"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 Nov 12, 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.