Individual provider Active NPI

Mahmoud M Ismail, MD

  • Family Medicine Physician
  • Rio Rancho, NM
National Provider Identifier
1326415365
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2019-1040 Issued in NM
Practice address
2400 Unser Blvd SE
Rio Rancho, NM 87124-3392
Phone
(505) 253-7878
Fax
(505) 272-6692
NPI assigned
Aug 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X MD2019-1040 NM
Family Medicine Physician 207Q00000X MD2019-1040 NM Primary

Addresses

Primary practice location

2400 Unser Blvd SE
Rio Rancho, NM 87124-3392

Mailing address

2400 Unser Blvd SE
Rio Rancho, NM 87124-3392
Phone (505) 253-7878

Other practice location 1

1204 Main St NE Ste A
Los Lunas, NM 87031-7423
Phone (505) 388-2015

Other practice location 2

1651 Galisteo St Ste 11
Santa Fe, NM 87505-2113
Phone (505) 395-5315

Other practice location 3

1009 Golf Course Rd SE Ste 109
Rio Rancho, NM 87124-4705
Phone (505) 891-3344

Other identifiers 1

IdentifierTypeStateIssuer
42129559MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211006003242 NM Practitioner - Family Practice 2769880640 Reassigns benefits to 2 organizations
I20211117002321 NM Practitioner - Sleep Medicine 2769880640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gonzalo a DiazGroup PAC ID 5597927780, 7 clinicians
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Practice addresses (Care Compare)

1009 Golf Course Rd SE
109 El Paso Sleep Disorder Ctr
Rio Rancho, NM 87124-4705
Phone (915) 779-7378

2100 N Martin Luther King Jr Blvd
Plains Regional Medical Center
Clovis, NM 88101-9412
Phone (575) 769-2141

2400 Unser Blvd SE
Rust Medical Center
Rio Rancho, NM 87124-4740
Phone (505) 253-7878

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Oak Street Health Physicians Group of New Mexico LLC Family Medicine CurrentSince Jul 23, 2021 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Gonzalo a Diaz CurrentSince Oct 25, 2021 Accepting new patients
Gonzalo a Diaz Past Accepting new patients
New Mexico Sleep Labs Past Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

4208 Central Ave SW
Ste G
Albuquerque, NM 87105
Phone (505) 777-3001

1155 Commerce Dr
Ste G
Las Cruces, NM 88011
Phone (575) 647-5337

1204 Main St NE
Ste A
Los Lunas, NM 87031
Phone (505) 388-2015

1009 Golf Course Rd SE
Ste 109
Rio Rancho, NM 87124
Phone (505) 273-2559

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

1651 Galisteo St
Ste 11
Santa Fe, NM 87505
Phone (505) 395-5315

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1326415365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 UNSER BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243392",
            "telephone_number": "505-253-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 UNSER BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243392",
            "telephone_number": "505-253-7878",
            "fax_number": "505-272-6692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 Main St NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870317423",
            "country_code": "US",
            "telephone_number": "505-388-2015",
            "fax_number": "505-214-5145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1651 Galisteo St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875052113",
            "country_code": "US",
            "telephone_number": "505-395-5315",
            "fax_number": "505-214-5396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Golf Course Rd SE Ste 109",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244705",
            "country_code": "US",
            "telephone_number": "505-891-3344",
            "fax_number": "505-896-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "MAHMOUD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NM",
            "license": "MD2019-1040",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2019-1040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42129559",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.