Individual provider Active NPI

Maham Mahmood, M.D.

  • Anesthesiology Physician
  • Lafayette, IN
National Provider Identifier
1164956512
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01083588A Issued in IN
Practice address
1701 S Creasy LN
Lafayette, IN 47905-4972
Phone
(765) 502-4000
Fax
(765) 502-4709
NPI assigned
Apr 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01083588A IN Primary

Addresses

Primary practice location

1701 S Creasy LN
Lafayette, IN 47905-4972

Mailing address

PO Box 78838
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0256

Other practice location 2

185 S Orange Ave
Medical Science Building, Room G 506
Newark, NJ 07103-2757
Phone (973) 972-5682

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmahmood535159@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210812003234 IN Practitioner - Anesthesiology 9830445055 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GLHS Anesthesia GroupGroup PAC ID 7719920941, 23 clinicians

Practice addresses (Care Compare)

1701 S Creasy LN
Lafayette, IN 47905-4972
Phone (765) 502-4917

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01083588AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare LLC CurrentSince Sep 30, 2024 Accepting new patients
Valley Oaks Health Inc CurrentSince Nov 27, 2023 Accepting new patients
GLHS Anesthesia Group Anesthesiology CurrentSince Sep 12, 2021 Accepting new patients
Unity Healthcare LLC Anesthesiology CurrentSince Sep 30, 2024 Accepting new patients
Unity Healthcare, LLC Current Accepting new patients
Valley Oaks Health Inc CurrentSince Nov 27, 2023 Accepting new patients

Locations

41 N Long Ave
Attica, IN 47918
Phone (765) 762-6187

1480 Darlington Ave
Crawfordsville, IN 47933
Phone (765) 362-2852

1710 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-2800

1265 N Bradford Dr
Delphi, IN 46923
Phone (765) 564-2247

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

2015 Meharry St
Lafayette, IN 47904
Phone (765) 742-0183

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

2111 Teal Rd
Lafayette, IN 47905
Phone (765) 446-6562

1411 S Creasy Ln
Ste 200
Lafayette, IN 47905
Phone (765) 446-5000

1345 Unity Pl
Ste 235
Lafayette, IN 47905
Phone (765) 446-5065

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

2323 Ferry St
Lafayette, IN 47904
Phone (765) 203-1110

217 Farabee Dr N
Lafayette, IN 47905
Phone (765) 250-5416

920 W Executive Ct
Monticello, IN 47960
Phone (574) 583-7997

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

131 W Drexel Pkwy
Rensselaer, IN 47978
Phone (219) 866-4194

5307 N 50 W
West Lafayette, IN 47906
Phone (765) 463-3662

Interoperability endpoints

  • Direct secure messaging: mmahmood535159@direct.franciscanalliance.org

Organizations & group practices 6

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 3

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1164956512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78838",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S CREASY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054972",
            "telephone_number": "765-502-4000",
            "fax_number": "765-502-4709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 W Michigan St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46202",
            "country_code": "US",
            "telephone_number": "317-274-0256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 S Orange Ave",
            "address_2": "Medical Science Building, Room G 506",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032757",
            "country_code": "US",
            "telephone_number": "973-972-5682",
            "fax_number": "973-972-7425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "MAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01083588A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmahmood535159@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 S Creasy Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479054972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.