Individual provider Active NPI

Sadeem Mahmood, M.D.

  • Cardiovascular Disease Physician
  • Pine Bluff, AR
National Provider Identifier
1245299924
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E2652 Issued in AR
Practice address
7200 S Hazel St
Pine Bluff, AR 71603-7836
Phone
(870) 534-2900
Fax
(870) 534-9726
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E2652 AR Primary

Addresses

Primary practice location

7200 S Hazel St
Pine Bluff, AR 71603-7836

Mailing address

7200 S Hazel St
Pine Bluff, AR 71603-7836
Phone (870) 534-2900

Other identifiers 1

IdentifierTypeStateIssuer
142512001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041209001033 AR Practitioner - Cardiovascular Disease (Cardiology) 1052378148 Reassigns benefits to 6 organizations
I20250801002007 TN Practitioner - Internal Medicine 1052378148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sark OplGroup PAC ID 7810261088, 5 clinicians
South Arkansas Cardiology, P.L.L.C.Group PAC ID 2264699479, 4 clinicians

Practice addresses (Care Compare)

1507 Linwood Dr
Paragould, AR 72450-5818
Phone (870) 239-8105

3018 E Woodson Lateral Rd
Hensley, AR 72065-9169
Phone (501) 280-3009

3024 E Woodson Lateral Rd
Hensley, AR 72065-9169
Phone (870) 534-2900

7200 S Hazel St
Pine Bluff, AR 71603-7836
Phone (501) 209-4040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting88
Pacemaker insertion or repair1-10
Varicose vein removal75
Leg revascularization (restoring blood flow)45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2652ARMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Arkansas Cardiology, P.L.L.C. Cardiovascular Disease CurrentSince Aug 18, 2000 Accepting new patients
Jefferson Hospital Association Inc CurrentSince Sep 1, 2000 Accepting new patients
St Vincent Infirmary Medical Center CurrentSince Jan 1, 2007 Accepting new patients
Cardiac & Vascular Institute, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Ouachita County Medical Center CurrentSince Oct 3, 2018 Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Sep 1, 2000 Accepting new patients
Sark Opl Cardiovascular Disease CurrentSince Mar 20, 2017 Accepting new patients
Ouachita County Medical Center CurrentSince Oct 3, 2018 Accepting new patients
St Vincent Infirmary Medical Center CurrentSince Jan 1, 2007 Accepting new patients
Sarc by HSH ASC Pine Bluff, LLC PastSince Mar 27, 2020 Accepting new patients

Locations

638 California Ave SW
East Camden, AR 71701
Phone (870) 836-1000

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000

1507 Linwood Dr
Paragould, AR 72450
Phone (870) 239-8105

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

7200 S Hazel St
Ofc 2
Pine Bluff, AR 71603

7200 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-2900

130 E Locust St
Dresden, TN 38225
Phone (731) 364-3196

6584 Poplar Ave
Ste 400
Memphis, TN 38138
Phone (901) 300-6713

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBHCBD

Organizations & group practices 11

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1245299924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037836",
            "telephone_number": "870-534-2900",
            "fax_number": "870-534-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037836",
            "telephone_number": "870-534-2900",
            "fax_number": "870-534-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "SADEEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E2652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142512001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.