Individual provider Active NPI

Mohammad Alamgir Mahmud, MD, MPH, PHD

  • Internal Medicine Physician
  • Corona, CA
National Provider Identifier
1164513784
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70230 Issued in CA
Practice address
703 Magnolia Ave
Corona, CA 92879-3118
Phone
(951) 340-2178
Fax
(951) 340-2478
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 A70230 CA Primary

Addresses

Primary practice location

703 Magnolia Ave
Corona, CA 92879-3118

Mailing address

703 Magnolia Ave
Corona, CA 92879-3118
Phone (951) 340-2178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000883 CA Practitioner - Internal MedicinePractitioner - Preventive Medicine 8921066812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Preventive Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Medical Group IncGroup PAC ID 8123930427, 71 clinicians

Practice addresses (Care Compare)

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70230CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients

Locations

81880 Doctor Carreon Blvd
Ste C108
Indio, CA 92201
Phone (760) 775-9641

72605 Highway 111
Palm Desert, CA 92260
Phone (760) 404-0135

275 N El Cielo Rd
Ste D402
Palm Springs, CA 92262
Phone (310) 650-6729

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

Interoperability endpoints

  • Direct secure messaging: mohammad.mahmud.p2@direct.mydohc.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164513784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAGNOLIA AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793118",
            "telephone_number": "951-340-2178",
            "fax_number": "951-340-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAGNOLIA AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793118",
            "telephone_number": "951-340-2178",
            "fax_number": "951-340-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMUD",
        "first_name": "MOHAMMAD",
        "middle_name": "ALAMGIR",
        "credential": "MD, MPH, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.