Mahmood Alam, MD
Individual provider Active NPI Pulmonary Disease Physician · Whitesburg, KY
NPI 1083669741 · NPPES record last updated Jan 4, 2012
Key facts
- NPI
- 1083669741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 32958 (KY)
- Practice address
- 226 Medical Plaza Lane
Whitesburg, KY 41858 - Phone
- (606) 633-4871
- Fax
- (606) 633-0883
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain Comprehensive Health Corporation
Practice addresses (Care Compare)
226 Medical Plaza LN
Whitesburg, KY 41858-7425
Phone (606) 633-4871
Hospital & facility affiliations
- Whitesburg Arh Hospital
- Pikeville Medical Center
- Hazard Arh Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20100115000786 | KY | Practitioner - Pulmonary Disease | 4486796273 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32958 | KY | MD | Pulmonary Disease Physician |
| 3298 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Comprehensive Health Corporation | Pulmonary Disease | Current |
Accepting new patients |
| Mountain Comprehensive Health Corporation | Current |
Accepting new patients | |
| Mountain Comprehensive Health Corporation | Current | Accepting new patients | |
| Mountain Comprehensive Health Corporation | Past | Accepting new patients |
Locations
50 E Main St
Whitesburg, KY 41858
Phone (606) 633-4476
226 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 633-4871
Interoperability endpoints
- mahmood.alam.p1@direct.mtncomp.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 32958 | KY | Yes |
Addresses
Primary practice location
226 Medical Plaza Lane
Whitesburg, KY 41858
Mailing address
PO Box 40
Whitesburg, KY 41858
Phone (606) 633-4823
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64011604 | Medicaid | KY |
Other providers in Whitesburg, KY
- Melissa Adams
- Misty Dawn Conatser Adams
- Sonji Nicole Adams
- Stephanie Danielle Adams
- Michael S Addair
- Lavenia Michele Amburgey
- Appalachian Community Care LLC
- Appalachian Heals, Inc.
- Appalachian Regional Healthcare Inc
- Appalachian Regional Healthcare, Inc
All providers in Whitesburg, KY · Pulmonary Disease Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2012. 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.