Active NPI
Khalid Mahmoud, MD
- Internal Medicine Physician
- Weston, WV
National Provider Identifier
1093825432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 19855
- Practice address
- 66 Hospital Plaza Suite 104
Weston, WV 26452 - Phone
- (304) 269-4252
- Fax
- (304) 269-5443
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19855 | WV | Primary |
Addresses
Primary practice location
66 Hospital Plaza Suite 104
Weston, WV 26452
Mailing address
66 Hospital PLZ
Suite 104
Weston, WV 26452-8552
Phone (304) 269-4252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000184000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19855 | WV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain State Sleep Center, Inc | Past | Accepting new patients | |
| Primary Oncology Network PLLC | Past | Accepting new patients | |
| Phoenix Rising Healthcare | Past | Accepting new patients | |
| Ahmed Husari, MD, Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Morgantown, WV
- NPI 1366531287
-
- Sleep Medicine (Internal Medicine) Physician
- Morgantown, WV
- NPI 1801171012
-
- Primary Care Nurse Practitioner
- Fairmont, WV
- NPI 1093284937
-
- Hematology & Oncology Physician
- Fairmont, WV
- NPI 1588610570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259107200000",
"number": "1093825432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 HOSPITAL PLZ",
"address_2": "SUITE 104",
"city": "WESTON",
"state": "WV",
"postal_code": "264528552",
"telephone_number": "304-269-4252",
"fax_number": "304-269-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 HOSPITAL PLAZA SUITE 104",
"city": "WESTON",
"state": "WV",
"postal_code": "26452",
"telephone_number": "304-269-4252",
"fax_number": "304-269-5443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOUD",
"first_name": "KHALID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2009-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "19855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000184000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.