Mahmoud I Hamza, MD
Individual provider Active NPI Emergency Medicine Physician · Lake Placid, NY
NPI 1063484582 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1063484582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 26454 (WV)
- Practice address
- 29 Church St
Lake Placid, NY 12946-1805 - Phone
- (518) 523-3311
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fep West LLC
Emergency Staffing Solutions Inc
Practice addresses (Care Compare)
1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7000
Hospital & facility affiliations
- Rehoboth McKinley Christian Health Care Services
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in NY, PA, KY, NM, WV, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051214000554 | NY | Practitioner - Internal Medicine |
7214958586 | Reassigns benefits to 2 organizations |
| I20091103000146 | PA | Practitioner - Emergency Medicine |
7214958586 | Reassigns benefits to 1 organization |
| I20110525000704 | KY | Practitioner - Emergency Medicine |
7214958586 | Reassigns benefits to 1 organization |
| I20151009000231 | NM | Practitioner - Emergency Medicine |
7214958586 | Reassigns benefits to 3 organizations |
| I20151117001718 | WV | Practitioner - Internal Medicine |
7214958586 | Reassigns benefits to 3 organizations |
| I20231017002007 | VA | Practitioner - Internal Medicine | 7214958586 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237858-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side, PLLC | Current |
Accepting new patients | |
| Logan General Hospital LLC | Internal Medicine | Current |
Accepting new patients |
| Appalachia Pathology Consultants LLC | Current | Accepting new patients | |
| Montgomery General Hospital, Inc | Current |
Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Ohio Valley Physicians Inc | Current |
Accepting new patients | |
| Ohio Valley Physicians Inc | Emergency Medicine | Current |
Accepting new patients |
| City Medical of Upper East Side, PLLC | Current |
Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| Fedko Emergency Physicians New Mexico LLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Current |
Accepting new patients |
| St Luke'S Physician Group Inc | Current |
Accepting new patients | |
| Montgomery General Hospital, Inc | Current |
Accepting new patients | |
| Fep West LLC | Emergency Medicine | Current |
Accepting new patients |
| Health Care Alliance, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Emergency Staffing Solutions Inc | Emergency Medicine | Current |
Accepting new patients |
| St. Luke'S Physician Group, Inc. | Emergency Medicine | Current |
Accepting new patients |
| North Country Emergency Medical Consultants,PC | Emergency Medicine | Past | Accepting new patients |
| Exigence Medical of Olean, PLLC | Past | Accepting new patients | |
| New Mexico Em-1 Medical Services, P.C. | Emergency Medicine | Past | Accepting new patients |
| Ky-I Medical Services, P.S.C. | Past | Accepting new patients | |
| Saint Francis Hospital / Medicine | Past | Accepting new patients | |
| Exigence Medical of Hornell, PLLC | Emergency Medicine | Past | Accepting new patients |
| Finger Lakes Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| West Virginia Em-I Medical Services | Emergency Medicine | Past | Accepting new patients |
| Exigence Pennsylvania LLC | Past | Accepting new patients | |
| Exigence of Sunbury LLC | Emergency Medicine | Past | Accepting new patients |
Locations
2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000
1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446
42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627
800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270
396 Broadway
Kingston, NY 12401
Phone (845) 331-3131
200 Ohio St
Medina, NY 14103
Phone (585) 798-2000
256 E Route 59
Nanuet, NY 10954
Phone (845) 624-2273
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
222 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 401-4282
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
384 Airport Rd
Chapmanville, WV 25508
Phone (304) 855-0224
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151
117 Hospital Dr
Petersburg, WV 26847
Phone 30497450009312
859 Alderson St
Williamson, WV 25661
Phone (304) 235-2500
859 Alderson St
Ste 1000
Williamson, WV 25661
Interoperability endpoints
- mahmoud.hamza.1@15020.direct.athenahealth.com
- mhamza@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101269291 | VA | |
| Internal Medicine Physician | 207R00000X | 237858-1 | NY | |
| Emergency Medicine Physician | 207P00000X | 26454 | WV | Yes |
Addresses
Primary practice location
29 Church St
Lake Placid, NY 12946-1805
Mailing address
84 N Ohioville Rd
New Paltz, NY 12561-3400
Phone (845) 853-5909
Other practice location 1
117 Hospital Dr
Petersburg, WV 26847-9566
Phone (304) 257-1026
Other practice location 2
109 Route 376
Hopewell Junction, NY 12533-7212
Phone (845) 221-9141
Other practice location 3
859 Alderson St Ste 1000
Williamson, WV 25661-3215
Phone (304) 236-5902
Other practice location 4
1535 Slate Creek Rd
Grundy, VA 24614-6974
Phone (276) 935-1000
Other providers in Lake Placid, NY
- David Michael Garrison
- Government Eye Care
- Caitlin Gregg
- Christina Anne Haberek-Windhorse
- Jacob Edward Hadden
- Raymond J Havlicek
- High Peaks Chiropractic Wellness
- High Peaks Chiropractic, LLC
- High Peaks Dental Professional Partnership
- Allyson Hubble
All providers in Lake Placid, NY · Emergency Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.