NPIMap

Individual provider Active NPI

Fernando Ariel Mahmoud, M.D.

  • Obstetrics & Gynecology Physician
  • Pueblo, CO
National Provider Identifier
1245542471
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
49049 Issued in CO
Practice address
1120 Minnequa Ave
Pueblo, CO 81004-3734
Phone
(719) 564-0660
Fax
(719) 564-0037
NPI assigned
Jul 2, 2010
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 49049 CO Primary

Addresses

Primary practice location

1120 Minnequa Ave
Pueblo, CO 81004-3734

Mailing address

1120 Minnequa Ave
Pueblo, CO 81004-3734
Phone (719) 564-0660

Other identifiers 1

IdentifierTypeStateIssuer
82301573MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105000736 CO Practitioner - Obstetrics/Gynecology 7719176841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1600 N Grand Ave
Pueblo, CO 81003-2760

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

4010 Jerry Murphy Rd
Pueblo, CO 81001-1045
Phone (719) 562-2021

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49049COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC Obstetrics & Gynecology CurrentSince Jun 1, 2025 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Sep 1, 2014 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Sep 1, 2014 Accepting new patients
Parkview Medical Center, Inc. Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

1120 Minnequa Ave
Pueblo, CO 81004
Phone (719) 281-3285

1501 Court St
Pueblo, CO 81003
Phone (719) 543-6755

1600 N Grand Ave
Ste 400
Pueblo, CO 81003
Phone (719) 543-4000

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718

4010 Jerry Murphy Rd
Pueblo, CO 81001
Phone (719) 546-2229

Interoperability endpoints

  • Direct secure messaging: fernando.mahmoud.p1@direct.pueblochc.nextgenshare.com

Organizations & group practices 5

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 10

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": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1245542471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MINNEQUA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043734",
            "telephone_number": "719-564-0660",
            "fax_number": "719-564-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MINNEQUA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043734",
            "telephone_number": "719-564-0660",
            "fax_number": "719-564-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "FERNANDO",
        "middle_name": "ARIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "49049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82301573",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.