Individual provider Active NPI

Mahmoud I Hamza, MD

  • Emergency Medicine Physician
  • Lake Placid, NY
National Provider Identifier
1063484582
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
26454 Issued in WV
Practice address
29 Church St
Lake Placid, NY 12946-1805
Phone
(518) 523-3311
NPI assigned
Feb 7, 2006
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101269291 VA
Internal Medicine Physician 207R00000X 237858-1 NY
Emergency Medicine Physician 207P00000X 26454 WV Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, KY, NM, WV, VA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20051214000554 NY Practitioner - Internal MedicinePractitioner - Emergency Medicine 7214958586 Reassigns benefits to 2 organizations
I20091103000146 PA Practitioner - Emergency MedicinePractitioner - Internal Medicine 7214958586 Reassigns benefits to 1 organization
I20110525000704 KY Practitioner - Emergency MedicinePractitioner - Internal Medicine 7214958586 Reassigns benefits to 1 organization
I20151009000231 NM Practitioner - Emergency MedicinePractitioner - Internal Medicine 7214958586 Reassigns benefits to 3 organizations
I20151117001718 WV Practitioner - Internal MedicinePractitioner - Emergency Medicine 7214958586 Reassigns benefits to 3 organizations
I20231017002007 VA Practitioner - Internal Medicine 7214958586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fep West LLCGroup PAC ID 3375041270, 19 clinicians
Emergency Staffing Solutions IncGroup PAC ID 9830001650, 57 clinicians

Practice addresses (Care Compare)

1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237858-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fep West LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Jul 10, 2016 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Oct 1, 2023 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Mar 1, 2023 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince May 10, 2025 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Mar 1, 2023 Accepting new patients
Appalachia Pathology Consultants LLC Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Sep 7, 2014 Accepting new patients
Logan General Hospital LLC Internal Medicine CurrentSince Dec 6, 2019 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
St. Luke's Physician Group, Inc. Emergency Medicine CurrentSince Sep 7, 2014 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Nov 24, 2015 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Nov 24, 2015 Accepting new patients
Fedko Emergency Physicians New Mexico LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Ohio Valley Physicians Inc Emergency Medicine CurrentSince Oct 1, 2023 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
Exigence Pennsylvania LLC Past Accepting new patients
Saint Francis Hospital / Medicine Past Accepting new patients
West Virginia Em-I Medical Services Emergency Medicine Past Accepting new patients
Exigence Medical of Olean, PLLC Past Accepting new patients
Finger Lakes Emergency Physicians Emergency Medicine Past Accepting new patients
Exigence of Sunbury LLC Emergency Medicine Past Accepting new patients
Exigence Medical of Hornell, PLLC Emergency Medicine Past Accepting new patients
North Country Emergency Medical Consultants,PC 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) 726-6875

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 (304) 257-2527

859 Alderson St
Williamson, WV 25661
Phone (304) 235-2500

859 Alderson St
Ste 1000
Williamson, WV 25661

Interoperability endpoints

  • Direct secure messaging: mahmoud.hamza.1@15020.direct.athenahealth.com
  • Direct secure messaging: mhamza@yourcarecommunity.org

Organizations & group practices 28

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.

View all 28

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1063484582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 N OHIOVILLE RD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613400",
            "telephone_number": "845-853-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CHURCH ST",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461805",
            "telephone_number": "518-523-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "WV",
            "postal_code": "268479566",
            "country_code": "US",
            "telephone_number": "304-257-1026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Route 376",
            "address_purpose": "LOCATION",
            "city": "Hopewell Junction",
            "state": "NY",
            "postal_code": "125337212",
            "country_code": "US",
            "telephone_number": "845-221-9141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "859 Alderson St Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Williamson",
            "state": "WV",
            "postal_code": "256613215",
            "country_code": "US",
            "telephone_number": "304-236-5902",
            "fax_number": "855-487-4047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1535 Slate Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Grundy",
            "state": "VA",
            "postal_code": "246146974",
            "country_code": "US",
            "telephone_number": "276-935-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMZA",
        "first_name": "MAHMOUD",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101269291",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237858-1",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "26454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, NY

Sources for this page

Verify at the official NPI Registry.