Mahmoud Qadoom, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

35087537 Issued in OH

Practice address

450 Alkyre Run
Suite 230
Westerville, OH 43082-6909

Phone

(614) 898-9340

Fax

(614) 898-9350

NPI assigned

Apr 21, 2006

Last updated

Nov 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Pulmonary DiseaseAlso: Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197
• James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CADCCA/Endpoint/CADCCA

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.

• Mary Rutan Hospital

  • General Acute Care Hospital
  • Bellefontaine, OH
  • NPI 1548254931
  Medicare reassignment Care Compare group NPD
• Pulmonary and Sleep Consultants, LLC

  • Pulmonary Disease Physician
  • Westerville, OH
  • NPI 1003909037
  Medicare reassignment NPD Authorized official
• Mary Rutan Hospital

  dba Mary Rutan Jackson Center Family Care

  • Rural Health Clinic/Center
  • Jackson Center, OH
  • NPI 1528806510
  NPD
• Mary Rutan Hospital

  dba Mary Rutan Hospital-Physicians

  • General Practice Physician
  • Bellefontaine, OH
  • NPI 1891997169
  NPD
• Central Ohio Pulmonary Disease Inc

  • Pulmonary Disease Physician
  • Columbus, OH
  • NPI 1720062805
  NPD (past)
• Mary Rutan Hospital

  dba Mad River Family Practice

  • Family Medicine Physician
  • West Liberty, OH
  • NPI 1003875949
  NPD (past)
• Jackson Hospital Corporation

  dba Kentucky River ER, Anesth, Radiology

  • Emergency Medicine Physician
  • Jackson, KY
  • NPI 1679774996
  NPD (past)
• JMHC Inc

  dba Nicholas County Rural Health Clinic

  • Rural Health Clinic/Center
  • Carlisle, KY
  • NPI 1093042038
  NPD (past)
• Nes Kentucky, Inc.

  • Emergency Medicine Physician
  • Columbia, KY
  • NPI 1962790915
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arthur G James Cancer Hospital and Research Institute

  • Special Hospital
  • Columbus, OH
  • NPI 1124127683
  Care Compare affiliation
• Mary Rutan Hospital

  • General Acute Care Hospital
  • Bellefontaine, OH
  • NPI 1548254931
  Care Compare affiliation

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1336105113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6045",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430266045",
            "telephone_number": "614-451-8770",
            "fax_number": "614-451-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ALKYRE RUN",
            "address_2": "SUITE 230",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826909",
            "telephone_number": "614-898-9340",
            "fax_number": "614-898-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADOOM",
        "first_name": "MAHMOUD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35087537",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35087537",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OH",
            "license": "35087537",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2658744",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Josip Puskarich, D.C.
• Lena A Putkonen, MD
• Katherine Putt
• Sarah Jo Pyle, OTA/L
• Pyramid Housing, LLC
• Mohammad Qasem
• Quality Care Professionals, LLC
• John Qualls, RBT
• Quantum Healing Therapies, LLC
• Michelle Quelette-Lebold

• Pulmonary Disease Physician in Westerville, OH
• Providers in Westerville, OH by specialty
• Pulmonary Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.