Individual provider Active NPI

Regina M Mahmood, NP-C

  • Adult Health Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1184798175
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209006095 Issued in IL
Practice address
1000 Inglewood LN
Elgin, IL 60120-4942
Phone
(630) 398-1935
NPI assigned
Nov 20, 2006
Last updated
Dec 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209006095 IL Primary

Addresses

Primary practice location

1000 Inglewood LN
Elgin, IL 60120-4942

Mailing address

1000 Inglewood LN
Elgin, IL 60120-4942
Phone (630) 398-1935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260129002463 IL Order and Referring Only - Nurse Practitioner 1254438146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical LLC Adult Health PastSince Oct 8, 2019 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
Metropolitan Healthcare, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1184798175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 INGLEWOOD LN",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204942",
            "telephone_number": "630-398-1935",
            "fax_number": "630-282-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 INGLEWOOD LN",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204942",
            "telephone_number": "630-398-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "REGINA",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209006095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.