Hamid Mahmud, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-044942 Issued in IL

Practice address

1610 N Broadway
Salem, IL 62881-4233

Phone

(618) 548-4613

Fax

(618) 548-4097

NPI assigned

Jun 20, 2006

Last updated

Jul 13, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• National Healthcare of Mt Vernon Inc

  dba Crossroads Family Medicine of Mt Vernon

  • Family Medicine Physician
  • Mount Vernon, IL
  • NPI 1619214624
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1326084468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 N BROADWAY",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628814233",
            "telephone_number": "618-548-4613",
            "fax_number": "618-548-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 N BROADWAY",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628814233",
            "telephone_number": "618-548-4613",
            "fax_number": "618-548-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMUD",
        "first_name": "HAMID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-044942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036044942",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mason Lemarr
• Steven Light, DDS
• Anthony Loepker
• Sherry L Lynch, FNP
• Magnolia Ultrasound Imaging Center, LLC
• Deborah L Malone, CNP
• Marion County Health Department
• Marion County Health Dept
• Marion County Horizon Center (Lakewood House)
• Marion Eye Centers LTD.

• Family Medicine Physician in Salem, IL
• Providers in Salem, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.