Individual provider Active NPI

Mahmud R. Elbackush, MD

  • Anesthesiology Physician
  • Dunn Loring, VA
National Provider Identifier
1023086782
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0057944 Issued in MD
Practice address
7964 Arden CT
Dunn Loring, VA 22027-1002
Phone
(703) 573-8971
Fax
(703) 573-8971
NPI assigned
Mar 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0057944 MD Primary

Addresses

Primary practice location

7964 Arden CT
Dunn Loring, VA 22027-1002

Mailing address

7964 Arden CT
Dunn Loring, VA 22027-1002
Phone (703) 573-8971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040528000899 MD Practitioner - Anesthesiology 8921089442 Reassigns benefits to 1 organization
I20040609001075 DC Practitioner - Anesthesiology 8921089442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Colonies Anesthesia Associates, LLCGroup PAC ID 8426039744, 339 clinicians

Practice addresses (Care Compare)

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3931

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.85 of 100Reported as group
Quality
57.47
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince Apr 1, 2004 Accepting new patients
Fostoria Hospital Association Past Accepting new patients

Locations

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

6420 Rockledge Dr
Ste 2100
Bethesda, MD 20817
Phone (301) 896-6700

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

Interoperability endpoints

  • Direct secure messaging: melbackush158740@direct.hopkinsmedicine.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023086782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7964 ARDEN CT",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271002",
            "telephone_number": "703-573-8971",
            "fax_number": "703-573-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7964 ARDEN CT",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271002",
            "telephone_number": "703-573-8971",
            "fax_number": "703-573-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBACKUSH",
        "first_name": "MAHMUD",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0057944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn Loring, VA

Sources for this page

Verify at the official NPI Registry.