Individual provider Active NPI

Anas M Mahmoud, MD

  • Internal Medicine Physician
  • Paterson, NJ
National Provider Identifier
1225602998
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036167496 Issued in IL
Practice address
703 Main St
Paterson, NJ 07503-2621
Phone
(973) 754-2022
NPI assigned
May 18, 2021
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404001924 IL Practitioner - Internal Medicine 1850739277 Reassigns benefits to 7 organizations

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
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Altea Medical Illinois PLLCGroup PAC ID 5799129730, 30 clinicians

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

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Sep 1, 2024 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
24 On Physicians, PC CurrentSince Nov 11, 2024 Accepting new patients
Altea Medical Illinois PLLC Internal Medicine CurrentSince Apr 16, 2025 Accepting new patients
Cep America-Illinois Hospitalists CurrentSince Nov 1, 2024 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince Jun 26, 2025 Accepting new patients
24 On Physicians, P.C. CurrentSince Nov 11, 2024 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine Current Accepting new patients
KND Development 59, LLC CurrentSince Sep 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.