Active NPI
Anas M Mahmoud, MD
- Internal Medicine Physician
- Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036167496
- Practice address
- 703 Main St
Paterson, NJ 07503-2621 - Phone
- (973) 754-2022
- NPI assigned
- May 18, 2021
- Last updated
- Jul 31, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 036167496 | IL | Primary |
Addresses
Primary practice location
703 Main St
Paterson, NJ 07503-2621
Mailing address
21 N 11TH St
Hawthorne, NJ 07506-3810
Phone (732) 267-9303
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
120 W 26TH St
South Chicago Heights, IL 60411-4141
Phone (877) 883-9430
490 W 16TH PL
Chicago Heights, IL 60411-3224
Phone (775) 287-3290
800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59, LLC | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists, LLP | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, PC | Current | Accepting new patients | |
| Altea Medical Illinois PLLC | Internal Medicine | Current | Accepting new patients |
| Cep America-Illinois Hospitalists | Current | Accepting new patients | |
| Post Acute Medical PLLC | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, P.C. | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists, LLP | Internal Medicine | Current | Accepting new patients |
| KND Development 59, LLC | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750
405 W Jackson St
Carbondale, IL 62901
2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622
6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222
490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444
3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400
1101 E State St
Geneva, IL 60134
Phone (630) 232-7544
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880
800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643
225 Edward St
Sycamore, IL 60178
Phone (815) 225-2144
Interoperability endpoints
- amahmoud80148@sih.direct-ci.com
Organizations & group practices 12
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Chicago Heights, IL
- NPI 1447039227
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IL
-
- Hospitalist Physician
- Ottawa, IL
- NPI 1346480431
-
- Hospitalist Physician
- Chicago, IL
- NPI 1992034599
-
dba American Family Care
- Primary Care Clinic/Center
- Willowbrook, IL
- NPI 1053933184
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Willowbrook, IL
- NPI 1699397729
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
-
- Internal Medicine Physician
- Decatur, IL
- NPI 1306613872
-
- Hospitalist Physician
- Chicago, IL
- NPI 1205165396
-
dba Specialty Hospitals Broken Arrow
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1225602998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 N 11TH ST",
"city": "HAWTHORNE",
"state": "NJ",
"postal_code": "075063810",
"telephone_number": "732-267-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621",
"telephone_number": "973-754-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOUD",
"first_name": "ANAS",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-18",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036167496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.