Ali H. Mahmood, PLLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

ALI H. MAHMOOD, PLLC

Doing business as

Ali H. Mahmood, MD

Practice address

9850 Haggerty Rd
Van Buren TWP, MI 48111-3443

Phone

(734) 699-3080

NPI assigned

Jun 18, 2021

Organization subpart

No

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

Authorized official

Name

Ali H Mahmood, MDNPI 1265954473

Title

Owner

Phone

(734) 699-3080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ali H. Mahmood, MD Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23498/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Hikmat Mahmood, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Van Buren TWP, MI
  • NPI 1265954473
  Medicare reassignment NPD Authorized official
• Kerrily Quay, RN,MSN,ACAGNP-BC

  • Nurse Practitioner
  • Wayne, MI
  • NPI 1043831910
  Medicare reassignment NPD
• Amal Farid Hadid, PA

  • Physician Assistant
  • Dearborn, MI
  • NPI 1962803742
  Medicare reassignment

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1306415021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 HAGGERTY RD",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481113443",
            "telephone_number": "734-699-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 HAGGERTY RD",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481113443",
            "telephone_number": "734-699-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI H. MAHMOOD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-699-3080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "4301500957",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mahmoodmedicalfp@gmail.com",
            "affiliation": "N",
            "address_1": "9850 Haggerty Rd",
            "city": "Van Buren Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481113443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ali H. Mahmood, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Geriatric Medicine (Family Medicine) Physician in Van Buren TWP, MI
• Providers in Van Buren TWP, MI by specialty
• Geriatric Medicine (Family Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.