ZABEEN KAIZAR MAHUWALA M.D.
NPI 1427336890
Student in an Organized Health Care Education/Training Program in Lexington, KY


Quality Rating: 100 out of 100 score

NPI Status: Active since August 02, 2011

Contact Information

740 S LIMESTONE ST
J 401
LEXINGTON, KY
ZIP 40536
Phone: (859) 323-5661

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  • Individual
  • Female
  • Years of Experience 23
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ZABEEN MAHUWALA

This page provides the complete NPI Profile along with additional information for Zabeen Mahuwala, a primary care provider established in Lexington, Kentucky with a medical specialization in Student In An Organized Health Care Education/training Program and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1427336890 assigned on August 2011. The practitioner's primary taxonomy code is 390200000X with license number 932752926 (AR). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1427336890
Provider Name
ZABEEN KAIZAR MAHUWALA M.D.
Gender
Female
Entity Type
Individual
Location Address
740 S LIMESTONE ST J 401 LEXINGTON, KY 40536
Location Phone
(859) 323-5661
Mailing Address
740 S LIMESTONE ST J 401 LEXINGTON, KY 40536
Mailing Phone
(859) 323-5661
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
08-02-2011
Last Update Date
02-14-2017
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A primary care provider (PCP) like Zabeen Mahuwala sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License No.
932752926
License State
AR
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

48899 (KY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Premier Silver - EPO
  • Premier Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Zabeen Mahuwala is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Zabeen Mahuwala is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1355621954

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20161215002381

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 19 times for 17 patients

Established patient office or other outpatient visit, 40-54 minutes

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.

This service was performed 34 times for 22 patients

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional

This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.

This service was performed 51 times for 28 patients

Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional

This procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.

This service was performed 14 times for 13 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 100 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: N/A

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Zabeen Mahuwala is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIVERSITY OF KENTUCKY HOSPITAL800 ROSE STREET
LEXINGTON, KY 40536
(859) 257-2278Acute Care Hospitals
ROCKCASTLE COUNTY HOSPITAL, INC.145 NEWCOMB AVENUE
MOUNT VERNON, KY 40456
(606) 256-2195Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427336890
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24476312818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 6 + 3 + 1 + 2 + 8 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1427336890 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659305746MR. WILLIAM H ADKISSON JR. PA-C
Individual
Physician Assistant (Surgical)740 S LIMESTONE ST
LEXINGTON, KY 40536
(859) 323-5533
1821183500 JOANNE ELIZABETH BROWN A.R.N.P.
Individual
Nurse Practitioner (Family)740 S LIMESTONE ST
LEXINGTON, KY 40536
(859) 323-5823
1861568156 LYNDA L ISON PHD
Individual
Psychologist740 S LIMESTONE ST
LEXINGTON, KY 40536
(859) 323-6211
1194893297 ANDREA MARGARET GORRINGE PAC
Individual
Physician Assistant (Medical)740 S LIMESTONE ST
LEXINGTON, KY 40536
(859) 323-0079
1619039781 DEBORAH R FLOMENHOFT MD
Individual
Internal Medicine (Gastroenterology)740 S LIMESTONE ST
LEXINGTON, KY 40536
(859) 323-0079
1245361286 LYNN ANN KELSO ARNP
Individual
Nurse Practitioner (Acute Care)740 S LIMESTONE ST
LEXINGTON, KY 40536
(859) 257-3253
1629286687 RHYA C STRIFLING MD
Individual
Pediatrics740 S LIMESTONE ST
LEXINGTON, KY 40536
(859) 323-6211
1447438155MS. SUSAN MALKEWTIZ VANTREESE ARNP
Individual
Nurse Practitioner (Family)740 S LIMESTONE ST E207 KENTUCKY CLINIC
LEXINGTON, KY 40536
(859) 323-9263
1568625812DR. VEENA NINAD KARANDIKAR
Individual
Psychiatry & Neurology (Neurology)740 S LIMESTONE ST L445 KENTUCKY CLINIC
LEXINGTON, KY 40536
(859) 323-5661
1407001522 JASON LEE FEYERHERD PA
Individual
Physician Assistant740 S LIMESTONE ST J450
LEXINGTON, KY 40536
(859) 323-5481
1376783209MS. ELIZABETH ANNE J JOHNSON LCSW
Individual
Social Worker (Clinical)740 S LIMESTONE ST ADOLESCENT MEDICINE J413
LEXINGTON, KY 40536
(859) 323-5643
1326361643 ASHLEY DAUB RD, LD
Individual
Dietitian, Registered (Nutrition, Metabolic)740 S LIMESTONE ST KY CLINIC, ROOM J450
LEXINGTON, KY 40536
(859) 323-8325
1366766404DR. JUDIT ZSUZSANNA BAFFI M.D., PH.D.
Individual
Ophthalmology740 S LIMESTONE ST E300 KENTUCKY CLINIC
LEXINGTON, KY 40536
(859) 218-2627
1346522737 LESLEE A BERTRAM APRN
Individual
Nurse Practitioner (Pediatrics)740 S LIMESTONE ST ROOM J-457
LEXINGTON, KY 40536
(859) 323-7705
1124348255 ABBY B. MATTINGLY AU.D.
Individual
Audiologist740 S LIMESTONE ST SUITE B317
LEXINGTON, KY 40536
(859) 257-3390
1346551330DR. PERSIS J ORMOND AU.D.
Individual
Audiologist740 S LIMESTONE ST SUITE B317
LEXINGTON, KY 40536
(859) 218-2198
1740627470DR. AMPREET SINGH O.D
Individual
Optometrist740 S LIMESTONE ST SUITE C 300
LEXINGTON, KY 40536
(312) 919-5655
1396958252DR. SUSAN HARKAVY POLLACK MD
Individual
Pediatrics740 S LIMESTONE ST
LEXINGTON, KY 40536
(859) 323-6211
1972537405DR. RALPH STEPHEN AMATO M.D.
Individual
Medical Genetics (Clinical Genetics (M.D.))740 S LIMESTONE ST STE. J420
LEXINGTON, KY 40536
(859) 323-0396
1548576937 CRYSTAL DALE APRN
Individual
Nurse Practitioner (Family)740 S LIMESTONE ST
LEXINGTON, KY 40536
(859) 323-8082

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427336890, enumerated in the NPI registry as an "individual" on August 02, 2011

The provider is located at 740 S Limestone St J 401 Lexington, Ky 40536 and the phone number is (859) 323-5661

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 23 years of experience.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional and Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional.

The practitioner is affiliated to the following hospital(s): UNIVERSITY OF KENTUCKY HOSPITAL and ROCKCASTLE COUNTY HOSPITAL, INC.. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 02, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.