Individual provider Active NPI

Talal Mahmood, M.D.

  • Nephrology Physician
  • Teaneck, NJ
National Provider Identifier
1306041918
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA11545200 Issued in NJ
Practice address
870 Palisade Ave Ste 202
Teaneck, NJ 07666-3445
Phone
(551) 996-9189
Fax
(201) 836-8042
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4317-320 WI
Nephrology Physician 207RN0300X 75793 TN
Nephrology Physician 207RN0300X 73588 AZ
Nephrology Physician 207RN0300X MD70019277 WA
Nephrology Physician 207RN0300X 76681 MN
Nephrology Physician 207RN0300X EMC0008155 MI
Nephrology Physician 207RN0300X 25MA11545200 NJ Primary

Addresses

Primary practice location

870 Palisade Ave Ste 202
Teaneck, NJ 07666-3445

Mailing address

870 Palisade Ave Ste 202
Teaneck, NJ 07666-3445
Phone (551) 996-9189

Other practice location 1

1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone (303) 390-1940

Other practice location 2

7650 River Rd Ste 300
North Bergen, NJ 07047-6527
Phone (551) 996-9189

Other practice location 3

301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220

Other practice location 4

530 Bogachiel Way
Forks, WA 98331-9120
Phone (303) 390-1940

Other practice location 5

800 Alder St
South Bend, WA 98586-4900
Phone (303) 390-1940

Other practice location 6

333 E 2nd St
Richland Center, WI 53581-1914
Phone (608) 647-6321

Other practice location 7

301 N Main St
Sheridan, MI 48884-9235
Phone (303) 390-1940

Other practice location 8

520 Rose Ln
Wickenburg, AZ 85390-1447
Phone (303) 390-1940

Other practice location 9

1650 4th St SE
Rochester, MN 55904-4717
Phone (303) 390-1940

Other identifiers 3

IdentifierTypeStateIssuer
036117302OtherILLICENSE
25MA11545200OtherNJLICENSE
22075OtherMSLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MN, AZ, WI, MI, WA, OH, TN, GA9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20230502002266 NJ Practitioner - NephrologyPractitioner - Internal Medicine 8426140757 Reassigns benefits to 2 organizations
I20240422002515 MN Practitioner - NephrologyPractitioner - Internal Medicine 8426140757 Reassigns benefits to 2 organizations
I20240427000068 AZ Practitioner - NephrologyPractitioner - Internal Medicine 8426140757 Reassigns benefits to 1 organization
I20240708001595 WI Practitioner - Nephrology 8426140757 Reassigns benefits to 1 organization
I20251006001740 MI Practitioner - Nephrology 8426140757 Reassigns benefits to 2 organizations
I20251103000148 WA Practitioner - Nephrology 8426140757 Reassigns benefits to 1 organization
I20251120001866 OH Practitioner - Nephrology 8426140757 Reassigns benefits to 1 organization
I20251201003190 TN Practitioner - Nephrology 8426140757 Reassigns benefits to 1 organization
I20260423002704 GA Practitioner - Nephrology 8426140757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, shared by 2 NPIs, 141 clinicians
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians
Community Health Care, Inc.Group PAC ID 9335040419, shared by 12 NPIs, 126 clinicians
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

110 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 682-3300

163 S Tallahassee St
Hazlehurst, GA 31539-6465
Phone (303) 390-1924

1650 4TH St SE
Rochester, MN 55904-4700
Phone (507) 285-8485

1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone (303) 390-1926

301 N Main St
Sheridan, MI 48884-9235
Phone (989) 291-3261

301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220

333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321

520 Rose LN
Wickenburg, AZ 85390-1447
Phone (928) 684-5421

785 W Sherman Ave
Vineland, NJ 08360-6913
Phone (856) 451-4700

835 Sweitzer St
Greenville, OH 45331-1007
Phone (937) 548-1141

870 Palisade Ave
Teaneck, NJ 07666-3419
Phone (551) 996-9189

Hospital & facility affiliations

  • FMC Fairview Dialysis facility, Fairview, NJ, CCN 312596
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as apm
Quality
84.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
EMC0008155MIMDNephrology Physician
76681MNMDNephrology Physician
25MA11545200NJMDNephrology Physician
75793TNMDNephrology Physician
MD70019277WAMDNephrology Physician
4317-320WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Rural Physicians Group-Pannu PLLC CurrentSince Oct 20, 2025 Accepting new patients
Olmsted Medical Center CurrentSince Jul 12, 2024 Accepting new patients
Rural Physicians Group-Pannu PLLC Nephrology CurrentSince Apr 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 20, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 20, 2023 Accepting new patients
Community Health Care, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients
Sheridan Community Hospital Past Accepting new patients
Home Dialysis Services Rockford LLC PastSince Oct 17, 2021 Accepting new patients
Midwest Neoped Associates LTD PastSince Jun 28, 2009 Accepting new patients

Locations (25 of 30)

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

301 N Main St
Sheridan, MI 48884
Phone (989) 291-3261

805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200

30 N Pearl St
Bridgeton, NJ 08302

14 N Pearl St
Bridgeton, NJ 08302
Phone (856) 340-9830

1 Metro Blvd
Clifton, NJ 07014
Phone (973) 230-6666

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

715 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

530 High St N
Millville, NJ 08332
Phone (856) 506-8556

7650 River Rd
Ste 300
North Bergen, NJ 07047
Phone (201) 224-8831

870 Palisade Ave
Ste 202
Teaneck, NJ 07666
Phone (201) 836-0897

870 Palisade Ave
Teaneck, NJ 07666
Phone (201) 907-0900

785 W Sherman Ave
Vineland, NJ 08360

3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258

75 W Red Bank Ave
Woodbury, NJ 08096
Phone (856) 853-2055

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705

18797 Alberta St
Oneida, TN 37841
Phone (423) 286-5300

Interoperability endpoints

  • Direct secure messaging: talal.mahmood.p1@direct.cchn.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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 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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1306041918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE STE 202",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663445",
            "telephone_number": "551-996-9189",
            "fax_number": "201-836-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE STE 202",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663445",
            "telephone_number": "551-996-9189",
            "fax_number": "201-836-8042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Sunrise Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peter",
            "state": "MN",
            "postal_code": "560825376",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7650 River Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070476527",
            "country_code": "US",
            "telephone_number": "551-996-9189",
            "fax_number": "201-836-8042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Tyson Ave",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382424544",
            "country_code": "US",
            "telephone_number": "731-642-1220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Bogachiel Way",
            "address_purpose": "LOCATION",
            "city": "Forks",
            "state": "WA",
            "postal_code": "983319120",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Alder St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "WA",
            "postal_code": "985864900",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Richland Center",
            "state": "WI",
            "postal_code": "535811914",
            "country_code": "US",
            "telephone_number": "608-647-6321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "MI",
            "postal_code": "488849235",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Rose Ln",
            "address_purpose": "LOCATION",
            "city": "Wickenburg",
            "state": "AZ",
            "postal_code": "853901447",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559044717",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "TALAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "4317-320",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "75793",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "73588",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD70019277",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "76681",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "EMC0008155",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA11545200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036117302",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA11545200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "22075",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.