Individual provider Active NPI

Ejaz Mahmood, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Elkins Park, PA
National Provider Identifier
1366895500
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
C1-0024078 Issued in DE
Practice address
50 Township Line Rd Ste G1
Elkins Park, PA 19027-2273
Phone
(215) 572-5200
NPI assigned
Jul 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD492038 PA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C1-0024078 DE Primary
Student in an Organized Health Care Education/Training Program 390200000X MT211494 PA

Addresses

Primary practice location

50 Township Line Rd Ste G1
Elkins Park, PA 19027-2273

Mailing address

50 Township Line Rd Ste G1
Elkins Park, PA 19027-2273
Phone (215) 572-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 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
I20210607003018 DE Practitioner - Endocrinology 3779983135 Reassigns benefits to 1 organization
I20260312001486 PA Practitioner - Endocrinology 3779983135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 744-7162

101 Wellness Way
Milford, DE 19963-4366

18383 Hudson Rd
FL 2
Milton, DE 19968-3103
Phone (302) 424-7522

640 S State St
Dover, DE 19901-3530

9880 Bustleton Ave
Suite 220
Philadelphia, PA 19115-2143
Phone (215) 827-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0024078DEMDEndocrinology, Diabetes & Metabolism Physician
MD492038PAMDEndocrinology, Diabetes & Metabolism Physician
MT211494PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Jul 26, 2021 Accepting new patients
Einstein Practice Plan, Inc Endocrinology, Diabetes & Metabolism CurrentSince Jan 28, 2026 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 28, 2026 Accepting new patients
Bayhealth Medical Center, Inc Endocrinology, Diabetes & Metabolism CurrentSince Jul 26, 2021 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

101 Wellness Way
Ste 200
Milford, DE 19963
Phone (302) 422-1251

18383 Hudson Rd
Fl 2
Milton, DE 19968
Phone (302) 725-3499

50 Township Line Rd
Bldg 2ND
Elkins Park, PA 19027
Phone (215) 663-6067

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

9880 Bustleton Ave
Ste 220
Philadelphia, PA 19115
Phone (215) 456-7900

5401 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-6948

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.

Hospital & facility affiliations 4

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": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1366895500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TOWNSHIP LINE RD STE G1",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272273",
            "telephone_number": "215-572-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TOWNSHIP LINE RD STE G1",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272273",
            "telephone_number": "215-572-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "EJAZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-22",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD492038",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "DE",
            "license": "C1-0024078",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT211494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.