Individual provider Active NPI

Mahamudun Nabi, MD

  • Psychiatry Physician
  • Midland, TX
National Provider Identifier
1255624516
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200485 Issued in CA
Practice address
2301 W Michigan Ave
Midland, TX 79701-5829
Phone
(432) 620-1160
Fax
(432) 620-1156
NPI assigned
May 19, 2011
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Psychiatry Physician 2084P0800X T8001 TX
Psychiatry Physician 2084P0800X 62097 CT
Psychiatry Physician 2084P0800X 200485 CA Primary

Addresses

Primary practice location

2301 W Michigan Ave
Midland, TX 79701-5829

Mailing address

701 W 5TH St
Odessa, TX 79763-4206
Phone (432) 703-5004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200708003637 TX Practitioner - Psychiatry 3870833643 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200485CAMDPsychiatry Physician
62097CTMDPsychiatry Physician
T8001TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Natchaug Hospital, Inc. CurrentSince Feb 11, 2019 Accepting new patients
Burke Center Psychiatry CurrentSince Nov 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center Odessa CurrentSince Jul 1, 2020 Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Aug 1, 2024 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation CurrentSince Jun 8, 2024 Accepting new patients
Texana Center CurrentSince May 15, 2024 Accepting new patients
Burke Center PastSince Nov 1, 2024 Accepting new patients

Locations

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

2301 W Michigan Ave
Midland, TX 79701
Phone (432) 620-1160

701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222

701 W 5th St
#3142
Odessa, TX 79763
Phone (432) 335-2222

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

601 N Frio St
#1
San Antonio, TX 78207
Phone (210) 225-5481

6800 Park Ten Blvd
Ste 200S
San Antonio, TX 78213
Phone 21026110001060

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

Interoperability endpoints

  • Direct secure messaging: mahamudun.nabi@xdr.hhchealthdirect.org

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1255624516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206",
            "telephone_number": "432-703-5004",
            "fax_number": "432-335-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W MICHIGAN AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015829",
            "telephone_number": "432-620-1160",
            "fax_number": "432-620-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABI",
        "first_name": "MAHAMUDUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-19",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T8001",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "62097",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "200485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.