Individual provider Active NPI

Mohammad Mahmoud, M.D.

  • Urology Physician
  • Tampa, FL
National Provider Identifier
1376960302
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME178145 Issued in FL
Practice address
3000 Medical Park Dr Ste 500
Tampa, FL 33613-6600
Phone
(813) 615-7030
Fax
(813) 615-8350
NPI assigned
Mar 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01083976A IN
Urology Physician 208800000X 036.145170 IL
Urology Physician 208800000X ME178145 FL Primary

Addresses

Primary practice location

3000 Medical Park Dr Ste 500
Tampa, FL 33613-6600

Mailing address

PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-8000

Other practice location 1

315 W Carpenter St Fl 1
Springfield, IL 62702-4901
Phone (217) 545-8000

Other practice location 2

535 Barnhill Dr Ste 150
Indianapolis, IN 46202-5116
Phone (317) 278-8282

Other practice location 3

747 N Rutledge St Fl 5
Springfield, IL 62702-6700
Phone (217) 545-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200730000188 IN Practitioner - General SurgeryPractitioner - Urology 4183915507 Reassigns benefits to 3 organizations
I20210324003261 IL Practitioner - Urology 4183915507 Reassigns benefits to 1 organization
I20260527002189 FL Practitioner - Urology 4183915507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Siu Physicians and Surgeons IncGroup PAC ID 2365352820, 316 clinicians

Practice addresses (Care Compare)

315 W Carpenter St
Springfield, IL 62702-4901
Phone (217) 545-8000

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Springfield, IL, CCN 140148
  • St Johns Hospital Hospital, Springfield, IL, CCN 140053
  • Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135
  • Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189
  • Jacksonville Memorial Hospital Hospital, Jacksonville, IL, CCN 141352

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME178145FLMDUrology Physician
036.145170ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc CurrentSince Sep 27, 2023 Accepting new patients
University Urologists, Inc., PC Urology CurrentSince Jul 1, 2020 Accepting new patients
Arnett Clinic, LLC CurrentSince Jan 15, 2021 Accepting new patients
Arnett Clinic, LLC CurrentSince Jan 15, 2021 Accepting new patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Sep 27, 2023 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince May 21, 2021 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince May 21, 2021 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

7614 Solutions Ctr
Chicago, IL 60677

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

747 N Rutledge St
Springfield, IL 62702
Phone (217) 545-6112

315 W Carpenter St
Fl 1
Springfield, IL 62702

315 W Carpenter St
Springfield, IL 62702
Phone (217) 545-5817

747 N Rutledge St
Fl 5
Springfield, IL 62702
Phone (217) 545-3262

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

535 Barnhill Dr
Ste 340
Indianapolis, IN 46202
Phone (317) 944-7415

535 Barnhill Dr
Ste 150
Indianapolis, IN 46202
Phone (317) 278-0221

5165 McCarty Ln
Rm 28A
Lafayette, IN 47905

2600 Greenbush St
Lafayette, IN 47904

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

Interoperability endpoints

  • Direct secure messaging: mmahmoud@unionhealth.cernerdirect.com
  • Direct secure messaging: mohammadmahmoud@siusm.allscriptsdirect.net
  • Direct secure messaging: mmahmoud76308@direct.eskenazihealth.edu

Organizations & group practices 12

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 5

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1376960302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19639",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949639",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 500",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336136600",
            "telephone_number": "813-615-7030",
            "fax_number": "813-615-8350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Carpenter St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627024901",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-1141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Barnhill Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025116",
            "country_code": "US",
            "telephone_number": "317-278-8282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "747 N Rutledge St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627026700",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-2303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01083976A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036.145170",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME178145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.