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NEERAJ MAHBOOB INTERNAL MEDICINE PSC
NPI 1407867484
Clinic/Center - Rural Health in Manchester, KY

Active since August 11, 2006CLIA 18D1008321 · Waiver
515 MEMORIAL DR, STE 3, MANCHESTER, KY 40962(606) 599-0864(606) 599-0869 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1407867484
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameNEERAJ MAHBOOB INTERNAL MEDICINE PSC
Location Address515 MEMORIAL DR, STE 3Manchester, KY 40962-9157
Mailing Address515 Memorial Dr, Ste 3Manchester, KY 40962-9157 · (606) 599-0864 · Fax (606) 599-0869
Phone(606) 599-0864
Fax(606) 599-0869
Organization SubpartNo
Authorized OfficialNeeraj MahboobOwner/physician · (606) 599-0169
Enumeration DateAugust 11, 2006
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1407867484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in KY · 900231
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 700127 (KY)
Also ListedNurse PractitionerTaxonomy 363L00000X
515 MEMORIAL DR, Manchester, KY 40962
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Other Names 1

Doing Business AsMedical Associates Of Southeast Kentucky

Other Identifiers 3

Other18-8900KY · Medicare Rural Health Provider Number
Medicaid31-000797KY
Medicaid7100137660KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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, KY
Active · expires Jan 15, 2027
CLIA Number18D1008321
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorNeeraje Mahboob
Laboratory Phone(606) 599-0169
Laboratory LocationNeeraj Mahboob Internal Medicine Psc, Medical Associates Of SE Kentucky515 Memorial Drive, Suite 3, Manchester, KY 40962
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

TRACY SIZEMORE APRN
Nurse Practitioner (Family)
515 MEMORIAL DR
MANCHESTER, KY 40962
Clay County (606) 598-4530
MEMORIAL HOSPITAL, INC.
Family Medicine
515 MEMORIAL DR
MANCHESTER, KY 40962
Clay County (606) 598-4530

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 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.

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 from Home State Health and Ambetter of Tennessee 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 with the weekly NPPES data releases published by CMS.