Active NPI
Mahmoud Chehab, MD
- Urology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 74154
- Practice address
- 750 E Adams St
Syracuse, NY 13210-2342 - Phone
- (315) 464-5136
- NPI assigned
- Apr 18, 2011
- Last updated
- Jun 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04794583 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mchehab162433@direct-guthrie.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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 PC
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
- Guthrie Cortland Regional Medical Center
- Corning Hospital
- Our Lady of Lourdes Memorial Hospital, Inc
- Wynn Hospital
- University Hospital S U N Y Health Science Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74154 | CT | MD | Urology Physician |
| 288372-1 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Urology, Inc. | Urology | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| MVHS Inc | Current | Accepting new patients | |
| Nuvance Health Medical Practice CT, Inc. | Current | Accepting new patients | |
| MVHS Inc | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Urology | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | 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
- mchehab14956@mvhealthsystem.direct-ci.com
- 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.
-
- Urology Physician
- Syracuse, NY
- NPI 1003062043
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Urology Physician
- Sayre, PA
- NPI 1891747085
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corning, NY
- NPI 1346241973
-
- General Acute Care Hospital
- Cortland, NY
- NPI 1740287531
-
dba Lourdes
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.