Individual provider Active NPI

Mahmoud Chehab, MD

  • Urology Physician
  • Syracuse, NY
National Provider Identifier
1093005597
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
74154 Issued in CT
Practice address
750 E Adams St
Syracuse, NY 13210-2342
Phone
(315) 464-5136
NPI assigned
Apr 18, 2011
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 288372-1 NY
Urology Physician 208800000X 74154 CT Primary

Addresses

Primary practice location

750 E Adams St
Syracuse, NY 13210-2342

Mailing address

251 Salina Meadows Pkwy
Suite 100
Syracuse, NY 13212-4516
Phone (315) 464-6106

Other practice location 1

11 Alvena Ave
Cortland, NY 13045-1150
Phone (074) 285-7576

Other identifiers 1

IdentifierTypeStateIssuer
04794583MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mchehab162433@direct-guthrie.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170710000818 NY Practitioner - Urology 9032488937 Reassigns benefits to 4 organizations
I20230804001058 CT Practitioner - Urology 9032488937 Reassigns benefits to 1 organization
I20240430002309 PA Practitioner - Urology 9032488937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Cincinnati College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, shared by 5 NPIs, 795 clinicians
MVHS IncGroup PAC ID 2769380252, 330 clinicians
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians
Upstate Urology, Inc.Group PAC ID 1254492952, 24 clinicians

Practice addresses (Care Compare)

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 756-3500

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000

24 Stevens St
Norwalk, CT 06850-3852
Phone (203) 852-2000

4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 464-6106

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74154CTMDUrology Physician
288372-1NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Urology, Inc. Urology CurrentSince Aug 7, 2017 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Oct 12, 2020 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Oct 12, 2020 Accepting new patients
MVHS Inc CurrentSince Feb 13, 2024 Accepting new patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Jul 14, 2023 Accepting new patients
MVHS Inc CurrentSince Feb 13, 2024 Accepting new patients
Guthrie Medical Group, P.C. Urology CurrentSince Mar 26, 2024 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Nov 17, 2017 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

11 Alvena Ave
Cortland, NY 13045
Phone (607) 428-5701

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

30 Harrison St
Ste 460
Johnson City, NY 13790
Phone (607) 763-8101

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

4900 Broad Rd
Ste 2I
Syracuse, NY 13215
Phone (315) 464-6106

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

2215 Genesee St
Utica, NY 13501
Phone (315) 624-6099

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: mchehab14956@mvhealthsystem.direct-ci.com
  • Direct secure messaging: mchehab6741@direct.upstate.edu

Organizations & group practices 9

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 5

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1093005597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SALINA MEADOWS PKWY",
            "address_2": "SUITE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124516",
            "telephone_number": "315-464-6106",
            "fax_number": "315-464-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102342",
            "telephone_number": "315-464-5136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Alvena Ave",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130451150",
            "country_code": "US",
            "telephone_number": "074-285-7576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEHAB",
        "first_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "288372-1",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "74154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04794583",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mchehab162433@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11 Alvena Ave",
            "city": "Cortland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130451150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.