Individual provider Active NPI

Humaira A Mahmud, M.D.

  • Nephrology Physician
  • Marlborough, MA
National Provider Identifier
1174581789
Registry record updated May 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
154239 Issued in MA
Practice address
640 Bolton Street
Kidney & Hypertension Clinic Inc.
Marlborough, MA 01752
Phone
(508) 281-5953
Fax
(508) 229-2343
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 154239 MA Primary

Addresses

Primary practice location

640 Bolton Street
Kidney & Hypertension Clinic Inc.
Marlborough, MA 01752

Mailing address

5 Saunders Rd
Sudbury, MA 01776-1282
Phone (508) 281-5953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20041022000718 MA Practitioner - NephrologyPractitioner - Internal Medicine 5092780999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

246 Maple St
Suite 2
Marlborough, MA 01752-3235
Phone (508) 281-5953

Hospital & facility affiliations

  • Fresenius Medical Care of Marlborough Dialysis facility, Marlborough, MA, CCN 222570
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Marlborough Hospital Hospital, Marlborough, MA, CCN 220049
  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney & Hypertension Clinic, Inc Nephrology CurrentSince Feb 17, 2003 Accepting new patients
Renal Carepartners of Marlborough, LLC PastSince Feb 23, 2006 Accepting new patients

Locations

246 Maple St
Ste 2
Marlborough, MA 01752
Phone (508) 281-5953

640 Bolton St
Marlborough, MA 01752
Phone (508) 281-5953

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIGBBA

Organizations & group practices 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275177600000",
    "number": "1174581789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAUNDERS RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761282",
            "telephone_number": "508-281-5953",
            "fax_number": "508-229-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BOLTON STREET",
            "address_2": "KIDNEY & HYPERTENSION CLINIC INC.",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-281-5953",
            "fax_number": "508-229-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMUD",
        "first_name": "HUMAIRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "154239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.