Individual provider Active NPI

Muhammad Bilal Mahmood

  • Internal Medicine Physician
  • Toledo, OH
National Provider Identifier
1124670419
Registry record updated Apr 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57.247862 Issued in OH
Practice address
3333 Glendale Ave
Toledo, OH 43614-2426
Phone
(419) 383-5555
NPI assigned
Jul 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.247862 OH Primary

Addresses

Primary practice location

3333 Glendale Ave
Toledo, OH 43614-2426

Mailing address

1015 Pine Valley LN Apt 201
Toledo, OH 43615-7786
Phone (918) 954-7380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230504002058 IN Practitioner - Internal Medicine 2062810427 Reassigns benefits to 1 organization
I20250825000310 OH Practitioner - Internal Medicine 2062810427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Internal Medicine Associates, PCGroup PAC ID 7113830688, 52 clinicians

Practice addresses (Care Compare)

2500 N Detroit St
Lagrange, IN 46761-1158
Phone (260) 463-2133

433 W High St
Bryan, OH 43506-1690
Phone 2604632133111

Hospital & facility affiliations

  • Adams Memorial Hospital Hospital, Decatur, IN, CCN 151330
  • Van Wert County Hospital Hospital, Van Wert, OH, CCN 360071
  • Community Hospitals and Wellness Centers Hospital, Bryan, OH, CCN 360121
  • Parkview Noble Hospital Hospital, Kendallville, IN, CCN 150146
  • Parkview Lagrange Hospital Hospital, Lagrange, IN, CCN 151323
  • Community Hospitals and Wellness Centers Nursing home, CCN 36Z327
  • Adams Memorial Hospital Nursing home, CCN 15Z330

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Internal Medicine Associates, PC Internal Medicine CurrentSince Jun 15, 2023 Accepting new patients
Van Wert County Hospital Association Past Accepting new patients
Community Hospitals and Wellness Centers Past Accepting new patients
Northeast Internal Medicine Associates, PC Past Accepting new patients

Locations

2500 N Detroit St
Lagrange, IN 46761
Phone (260) 463-2133

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

Interoperability endpoints

  • Direct secure messaging: mmahmood540403@direct.parkviewexchange.com

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.

Hospital & facility affiliations 7

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1124670419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 PINE VALLEY LN APT 201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157786",
            "telephone_number": "918-954-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 GLENDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142426",
            "telephone_number": "419-383-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "MUHAMMAD",
        "middle_name": "BILAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.247862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.