Individual provider Active NPI

Ahmad Naveed Mahmoodi, MD

  • Anesthesiology Physician
  • Washington, DC
National Provider Identifier
1205464047
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
333209 Issued in NY
Practice address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone
(202) 444-8556
Fax
(202) 444-8854
NPI assigned
Mar 28, 2020
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 333209 NY Primary
Anesthesiology Physician 207L00000X 0101283696 VA

Addresses

Primary practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Mailing address

14340 Compton Village Dr
Centreville, VA 20121-5700
Phone (703) 362-4244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241022004190 NY Practitioner - Anesthesiology 0749712230 Reassigns benefits to 3 organizations
I20251208004178 VA Practitioner - Anesthesiology 0749712230 Reassigns benefits to 1 organization
I20260417000583 FL Practitioner - Anesthesiology 0749712230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101283696VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Bronx Anesthesia Services, PC Single Specialty CurrentSince Aug 9, 2025 Accepting new patients
Centra Medical Group, LLC CurrentSince Nov 1, 2025 Accepting new patients
Fpa Hospital Based Single Specialty Current Accepting new patients
Centra Medical Group, LLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Fpa Hospital Based Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Fpa Hospital Based Single Specialty CurrentSince Oct 1, 2024 Accepting new patients

Locations

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: amahmoodi4529641@nychhc.direct-ci.com

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

Hospital & facility affiliations 8

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": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1205464047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14340 COMPTON VILLAGE DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215700",
            "telephone_number": "703-362-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-8556",
            "fax_number": "202-444-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOODI",
        "first_name": "AHMAD",
        "middle_name": "NAVEED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "333209",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101283696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.