Active NPI
Hussam Mahmood, DO
- Internal Medicine Physician
- Halifax, PA
National Provider Identifier
1356911655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS024024
- Practice address
- 36 S River Rd
Halifax, PA 17032-8614 - Phone
- (717) 827-3428
- Fax
- (717) 827-3437
- NPI assigned
- Jun 29, 2021
- Last updated
- Dec 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS024024 | PA | Primary |
Addresses
Primary practice location
36 S River Rd
Halifax, PA 17032-8614
Mailing address
7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123
Other practice location 1
4897 State Route 209
Elizabethville, PA 17023-8455
Phone (717) 362-3371
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1039193020002 | Medicaid | PA | |
| 6U8151 | Other | PA | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hussammahmooddo@fpc.medentdirect.com | Health Information Exchange (HIE) | FAMILY PRACTICE CENTER, PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- West Virginia School of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36 S River Rd
Unit 1
Halifax, PA 17032-8614
Phone (717) 827-3428
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Center, PC | Current | Accepting new patients | |
| Family Practice Center, PC | Multi-Specialty | Current | Accepting new patients |
Locations
4897 State Route 209
Elizabethville, PA 17023
Phone (717) 362-3371
36 S River Rd
Halifax, PA 17032
Phone (717) 827-3428
36 S River Rd
Unit 1
Halifax, PA 17032
Phone (717) 827-3428
7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123
270 Susquehanna Valley Mall Dr
Ste 300
Selinsgrove, PA 17870
Phone (570) 743-1703
Interoperability endpoints
- hussammahmooddo@fpc.medentdirect.com
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Selinsgrove, PA
- NPI 1033322466
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1356911655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DOCK HILL RD",
"city": "MIDDLEBURG",
"state": "PA",
"postal_code": "178428910",
"telephone_number": "570-837-2123",
"fax_number": "570-837-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 S RIVER RD",
"city": "HALIFAX",
"state": "PA",
"postal_code": "170328614",
"telephone_number": "717-827-3428",
"fax_number": "717-827-3437"
}
],
"practiceLocations": [
{
"address_1": "4897 State Route 209",
"address_purpose": "LOCATION",
"city": "Elizabethville",
"state": "PA",
"postal_code": "170238455",
"country_code": "US",
"telephone_number": "717-362-3371",
"fax_number": "717-362-4278",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHMOOD",
"first_name": "HUSSAM",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-29",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS024024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1039193020002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "6U8151",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hussammahmooddo@fpc.medentdirect.com",
"affiliation": "Y",
"affiliationName": "FAMILY PRACTICE CENTER, PC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "36 S River Rd",
"city": "Halifax",
"state": "PA",
"country_code": "US",
"postal_code": "170328614",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Halifax, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.