Organization Active NPI

Hamid Mahmood MD PC

  • Internal Medicine Physician
  • Mustang, OK
National Provider Identifier
1093994980
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23361 Issued in OK
Legal business name
HAMID MAHMOOD MD PC
Practice address
1104 E State Highway 152
Mustang, OK 73064-5116
Phone
(405) 376-9544
NPI assigned
Oct 29, 2007
Last updated
Aug 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Waqas Hussain
Title
Billing
Phone
(405) 563-3998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23361 OK Primary

Addresses

Primary practice location

1104 E State Highway 152
Mustang, OK 73064-5116

Mailing address

1104 E State Hwy
152
Mustang, OK 73064-5116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050506000382 OK Part B Supplier - Clinic/Group Practice 2466407333 Receives reassigned benefits from 3 practitioners
Practice locations: Mustang, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1031506Hamid Mahmood MD1104 E State Highway 152, Mustang, OK 73064Certificate of waiverApr 17, 2027

National Provider Directory

National Provider Directory

Locations

1104 E State Highway 152
Mustang, OK 73064
Phone (405) 376-9544

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1093994980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 E STATE HWY",
            "address_2": "152",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730645116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E STATE HIGHWAY 152",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730645116",
            "telephone_number": "405-376-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMID MAHMOOD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "WAQAS",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "405-563-3998"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "23361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mustang, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.