NEERAJ MAHBOOB INTERNAL MEDICINE PSC
NPI 1407867484
Clinic/Center - Rural Health in Manchester, KY
About Neeraj Mahboob Internal Medicine Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEERAJ MAHBOOB INTERNAL MEDICINE PSC (NPI 1407867484), doing business as Medical Associates Of Southeast Kentucky, is a healthcare organization registered as a rural health in Manchester, Kentucky and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Neeraj Mahboob, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Neeraj Mahboob Internal Medicine Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Neeraj Mahboob Internal Medicine Psc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 18D1008321
Neeraj Mahboob Internal Medicine Psc, Medical Associates Of SE Kentucky · Manchester, KYFrequently 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 Neeraj Mahboob Internal Medicine Psc's NPI number?
The NPI number for Neeraj Mahboob Internal Medicine Psc is 1407867484. It was assigned to this organization in the NPPES registry on August 11, 2006. The provider is doing business as Medical Associates of Southeast Kentucky.
Where is Neeraj Mahboob Internal Medicine Psc located?
Neeraj Mahboob Internal Medicine Psc is located at 515 Memorial Dr Ste 3, Manchester, KY 40962. The listed phone number is (606) 599-0864.
What is Neeraj Mahboob Internal Medicine Psc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Neeraj Mahboob Internal Medicine Psc enrolled in Medicare?
Yes. Neeraj Mahboob Internal Medicine Psc is registered in the Medicare PECOS enrollment system.
When is Neeraj Mahboob Internal Medicine Psc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Neeraj Mahboob Internal Medicine Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Neeraj Mahboob Internal Medicine Psc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Internal Medicine (1) and Psychiatry (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Neeraj Mahboob Internal Medicine Psc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D1008321) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Neeraj Mahboob Internal Medicine Psc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Neeraj Mahboob Internal Medicine Psc 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.
When was this NPI record last updated?
The NPPES record for Neeraj Mahboob Internal Medicine Psc was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Neeraj Mahboob Internal Medicine Psc · NPI 1407867484
Rural Health organization in Manchester, Kentucky. Organization record, active in the CMS NPPES registry since August 11, 2006.
## Identity
- **NPI:** 1407867484 (Entity type: Organization)
- **Enumerated:** August 11, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Medical Associates of Southeast Kentucky (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Neeraj Mahboob, OWNER/PHYSICIAN
## Practice location
- **Address:** 515 MEMORIAL DR, STE 3, Manchester, KY 40962-9157
- **Phone:** (606) 599-0864 · **Fax:** (606) 599-0869
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Kentucky, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Internal Medicine (1), Psychiatry (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2026
- **Other identifiers:** Other 18-8900 (KY); Medicaid 31-000797 (KY); Medicaid 7100137660 (KY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407867484) · Data from the CMS NPPES public registry.