NPIMap

Individual provider Active NPI

Humaira Mahbub, MD

  • Internal Medicine Physician
  • Upland, PA
National Provider Identifier
1184952129
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD442329 Issued in PA
Practice address
30 Medical Center Blvd
Suite 404
Upland, PA 19013
Phone
(610) 619-8590
Fax
(610) 619-8591
NPI assigned
Dec 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD442329 PA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD442329 PA

Addresses

Primary practice location

30 Medical Center Blvd
Suite 404
Upland, PA 19013

Mailing address

30 Medical Center Blvd
Suite 404
Upland, PA 19013
Phone (610) 619-8590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110829000414 PA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1355485665 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Geriatric'S, Inc.Group PAC ID 4486551371, 102 clinicians
Suburban Geriatrics II PCGroup PAC ID 9537552419, 107 clinicians

Practice addresses (Care Compare)

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

Hospital & facility affiliations

  • Gentiva I Hospice, Blue Bell, PA, CCN 391622
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Manatawny Center for Rehabilitation and Nursing Nursing home, Pottstown, PA, CCN 395319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD442329PAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. Current Accepting new patients
Suburban Geriatrics, Inc. Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Violet Valley Long Term Care PC Geriatric Medicine CurrentSince Aug 18, 2025 Accepting new patients
Pottstown Clinic Company LLC Internal Medicine CurrentSince Jul 18, 2011 Accepting new patients
Suburban Geriatrics II PC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
115 S Providence Road Operations LLC Past Accepting new patients

Locations

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1553 Chester Pike
Ste 201
Crum Lynne, PA 19022
Phone (610) 499-7181

200 E State St
Ste 106
Media, PA 19063
Phone (610) 480-5176

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

100 W Sproul Rd
Ste 221
Springfield, PA 19064
Phone (610) 338-2722

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 8

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 5

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": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1184952129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD",
            "address_2": "SUITE 404",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-619-8590",
            "fax_number": "610-619-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD",
            "address_2": "SUITE 404",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-619-8590",
            "fax_number": "610-619-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHBUB",
        "first_name": "HUMAIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD442329",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD442329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, PA

Sources for this page

Verify at the official NPI Registry.