Active NPI
Mahmoud O Jawhar, MD
- Surgery Physician
- Galax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101-231348
- Practice address
- 225 Hospital Dr
Galax, VA 24333-2228 - Phone
- (276) 236-6906
- Fax
- (276) 236-7179
- NPI assigned
- Feb 23, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101-231348 | VA | Primary |
Addresses
Primary practice location
225 Hospital Dr
Galax, VA 24333-2228
Mailing address
PO Box 1337
Galax, VA 24333-1337
Phone (276) 236-3210
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7306245 | Medicaid | VA | |
| 010360609 | Medicaid | VA | |
| 007306245 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Eastern Virginia Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Harris Rd
Kilmarnock, VA 22482-3880
1510 N 28TH St
Richmond, VA 23223-5311
95 Harris Rd
Kilmarnock, VA 22482-3845
Phone (804) 432-1608
Hospital & facility affiliations
- Rappahannock General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 111 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 15 |
| Melanoma (skin cancer) excision | 32 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101-231348 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Surgery | Current | Accepting new patients |
| Carilion Healthcare Corporation | Past | Accepting new patients | |
| Twin County Family Care Centers Inc | Past | Accepting new patients |
Locations
95 Harris Rd
Bldg 5
Kilmarnock, VA 22482
Phone (804) 435-3146
95 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0023
1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304
8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462
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.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1477112225
Surgery
-
- Durable Medical Equipment & Medical Supplies
- Midlothian, VA
- NPI 1841029287
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Primary Care Clinic/Center
- Galax, VA
- NPI 1023056926
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kilmarnock, VA
- NPI 1699125526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1124094875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1337",
"city": "GALAX",
"state": "VA",
"postal_code": "243331337",
"telephone_number": "276-236-3210",
"fax_number": "276-236-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 HOSPITAL DR",
"city": "GALAX",
"state": "VA",
"postal_code": "243332228",
"telephone_number": "276-236-6906",
"fax_number": "276-236-7179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAWHAR",
"first_name": "MAHMOUD",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101-231348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7306245",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010360609",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007306245",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.