Individual provider Active NPI

Ayesha Mahmood, MD

  • Neurological Surgery Physician
  • Drexel Hill, PA
National Provider Identifier
1194754671
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD423490 Issued in PA
Practice address
2100 Keystone Ave
Suite 402
Drexel Hill, PA 19026-1129
Phone
(610) 394-4731
Fax
(610) 394-4734
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD423490 PA Primary

Addresses

Primary practice location

2100 Keystone Ave
Suite 402
Drexel Hill, PA 19026-1129

Mailing address

931 Clover Hill Rd
Wynnewood, PA 19096-1503
Phone (610) 642-0671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040805000182 PA Practitioner - Neurology 4183695885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gni Neuroservices, LLCGroup PAC ID 7416277702, 25 clinicians

Practice addresses (Care Compare)

1205 Langhorne Newtown Rd
Suite 211
Langhorne, PA 19047-1221
Phone (844) 464-6387

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (844) 464-6387

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD423490PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gni Neuroservices LLC Neurological Surgery CurrentSince Jul 12, 2021 Accepting new patients
Main Line Healthcare Neurological Surgery CurrentSince Jul 24, 2020 Accepting new patients
Global Neurosciences Institute LLC Neurological Surgery CurrentSince Feb 20, 2024 Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients

Locations

10 Route 31 N
Pennington, NJ 08534
Phone (609) 303-3064

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1 Medical Center Blvd
#428
Chester, PA 19013
Phone (610) 874-4044

1501 Lansdowne Ave
Ste 210
Darby, PA 19023
Phone (610) 534-6142

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

525 W Chester Pike
Ste 305
Havertown, PA 19083
Phone (610) 446-3651

1205 Langhorne Newtown Rd
Ste 211
Langhorne, PA 19047
Phone (215) 335-6000

1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400

21 Industrial Blvd
Ste 205
Paoli, PA 19301
Phone (610) 296-5600

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

160 E Erie Ave
Ste A308
Philadelphia, PA 19134

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

2701 Holme Ave
Ste 205
Philadelphia, PA 19152
Phone (215) 331-0515

1088 W Baltimore Pike
Ste 2205
Rose Valley, PA 19063
Phone (610) 565-7010

Interoperability endpoints

  • Direct secure messaging: ayesha.mahmood@gni.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBJDCD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194754671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 CLOVER HILL RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961503",
            "telephone_number": "610-642-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 KEYSTONE AVE",
            "address_2": "SUITE 402",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261129",
            "telephone_number": "610-394-4731",
            "fax_number": "610-394-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "AYESHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD423490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.