AQEEL H MANDVIWALA MD
NPI 1326016460
Internal Medicine - Pulmonary Disease in London, KY

Q: What is Aqeel Mandviwala's NPI number?

The NPI number for Aqeel Mandviwala is 1326016460. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Aqeel Mandviwala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Aqeel Mandviwala was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment

1025 SAINT JOSEPH LN, LONDON, KY 40741(606) 864-4030(606) 864-0115 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Aqeel H Mandviwala Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AQEEL H MANDVIWALA MD (NPI 1326016460) is an individual pulmonary disease provider in London, Kentucky, licensed in Kentucky (31400) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1326016460

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameAQEEL H MANDVIWALACredential: MD

Location Address1025 SAINT JOSEPH LNLondon, KY 40741-8345

Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835

Phone(606) 864-4030

Fax(606) 864-0115

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateMarch 14, 2006

Last NPPES UpdateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1326016460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in KY · 31400

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1025 SAINT JOSEPH LN, London, KY 40741

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Other Identifiers 1

Medicaid64314016KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Aqeel H Mandviwala Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264419829

PECOS Enrollment IDI20040701000563

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

172 services136 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

163 services121 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

145 services57 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

118 services73 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

114 services109 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

101 services96 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

84 services81 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

63 services45 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

52 services52 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

51 services50 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

34 services34 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

30 services24 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

28 services28 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

26 services26 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

24 services23 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

23 services22 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

16 services16 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

14 services13 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph London

Acute Care Hospitals · London, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180011

Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County

Emergency services Birthing friendly

Manchester Memorial Hospital

Acute Care Hospitals · Manchester, KY

OwnershipVoluntary non-profit - Church

CMS Certification Number180043

Location210 Marie Langdon DriveManchester, KY 40962 · Clay County

Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180080

LocationOne Trillium WayCorbin, KY 40701 · Whitley County

Emergency services Birthing friendly

Saint Joseph Berea

Critical Access Hospitals · Berea, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181329

Location305 Estill StreetBerea, KY 40403 · Madison County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40741 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 30

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

10 suppliers70 claims70 services$44.80 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers15 claims28 services$1.72 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

15 suppliers128 claims128 services$112.04 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

15 suppliers147 claims340 services$42.50 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

10 suppliers48 claims263 services$24.29 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

11 suppliers57 claims57 services$73.98 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

18 suppliers115 claims115 services$22.81 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

15 suppliers110 claims110 services$21.40 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

17 suppliers203 claims955 services$3.05 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

8 suppliers43 claims43 services$7.99 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

13 suppliers69 claims69 services$14.21 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

10 suppliers147 claims148 services$20.62 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

3 suppliers17 claims24 services$53.02 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

6 suppliers108 claims108 services$912.22 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers32 claims32 services$124.51 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

4 suppliers17 claims17 services$189.84 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

6 suppliers69 claims75 services$17.40 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers40 claims40 services$8.53 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

8 suppliers221 claims234 services$50.80 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

12 suppliers298 claims302 services$114.30 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers92 claims92 services$36.94 avg. paid by Medicare

Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier13 claims780 services$35.11 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers22 claims1,290 services$5.16 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers26 claims1,560 services$6.62 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

10 suppliers48 claims8,127 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

16 suppliers66 claims8,400 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

4 suppliers43 claims2,496 services$0.81 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier18 claims18 services$38.32 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

20 suppliers128 claims128 services$24.61 avg. paid by Medicare

Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration Q2052

Treatment-Chemotherapy · category RH012N

1 supplier12 claims12 services$309.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID CODY DUGGER APRN

Nurse Practitioner (Family)

1025 SAINT JOSEPH LN
LONDON, KY 40741

Laurel County (606) 330-2370

SEYED KAMRAN HEJAZI KENARI M.D.

Internal Medicine (Pulmonary Disease)

1025 SAINT JOSEPH LN
LONDON, KY 40741

Laurel County (606) 864-4030

JAMES MICHAEL BROWN D.O.

Family Medicine

1025 SAINT JOSEPH LN
LONDON, KY 40741

Laurel County (606) 330-2377

SYED F. MUSTAFA MD, MBBS

Internal Medicine (Interventional Cardiology)

1025 SAINT JOSEPH LN
LONDON, KY 40741

Laurel County (606) 864-4040

JANEY P PHIPPS APRN

Nurse Practitioner (Family)

1025 SAINT JOSEPH LN
LONDON, KY 40741

Laurel County (606) 330-2377

LUKE ROBINSON PA-C

Physician Assistant (Surgical)

1025 SAINT JOSEPH LN
LONDON, KY 40741

Laurel County (606) 864-4040

FARHAN JAVAID

Family Medicine

1025 SAINT JOSEPH LN
LONDON, KY 40741

Laurel County (606) 330-2377

DON MICHAEL MORRING JR. MD

Surgery

1025 SAINT JOSEPH LN
LONDON, KY 40741

Laurel County (606) 330-2370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aqeel Mandviwala's NPI number?

The NPI number for Aqeel Mandviwala is 1326016460. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Aqeel Mandviwala located?

Aqeel Mandviwala practices at 1025 Saint Joseph Ln, London, KY 40741. The listed phone number is (606) 864-4030.

What is Aqeel Mandviwala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Aqeel Mandviwala enrolled in Medicare?

Yes. Aqeel Mandviwala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Aqeel Mandviwala accept?

Health plans from CareSource list Aqeel Mandviwala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Aqeel Mandviwala affiliated with any hospitals?

According to CMS data, Aqeel Mandviwala is affiliated with Saint Joseph London, Manchester Memorial Hospital, Baptist Health Corbin and Saint Joseph Berea.

When was this NPI record last updated?

The NPPES record for Aqeel Mandviwala was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.