Individual provider Active NPI

Rafique Jahan Mahmood, MD

  • Obstetrics & Gynecology Physician
  • Bessemer, AL
National Provider Identifier
1336327477
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28659 Issued in AL
Practice address
985 9TH Ave SW
Suite 500
Bessemer, AL 35022-4500
Phone
(205) 481-7750
Fax
(205) 491-7755
NPI assigned
Jan 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28659 AL Primary

Addresses

Primary practice location

985 9TH Ave SW
Suite 500
Bessemer, AL 35022-4500

Mailing address

PO Box 11407
Birmingham, AL 35246-0777
Phone (205) 481-7670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160823002107 FL Practitioner - Obstetrics/Gynecology 7214013101 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Halifax Healthcare Systems Inc Obstetrics & Gynecology CurrentSince Jun 1, 2023 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jun 15, 2016 Accepting new patients
Flagler OB GYN PA Obstetrics & Gynecology CurrentSince Dec 1, 2020 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jun 15, 2016 Accepting new patients
Juan Larroude MD PA PastSince Dec 1, 2020 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3100 US Highway 1 S
Ste 1
Saint Augustine, FL 32086
Phone (904) 797-2777

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336327477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460777",
            "telephone_number": "205-481-7670",
            "fax_number": "205-481-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 9TH AVE SW",
            "address_2": "SUITE 500",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224500",
            "telephone_number": "205-481-7750",
            "fax_number": "205-491-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "RAFIQUE",
        "middle_name": "JAHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "28659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.