Active NPI
Ahmad Mahmoud
- General Practice Physician
- Venice, FL
National Provider Identifier
1407533771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME177536
- Practice address
- 915 Laurel Avenue
Venice, FL 34285-7832 - Phone
- (303) 240-6665
- NPI assigned
- Jun 29, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME177536 | FL | Primary |
Addresses
Primary practice location
915 Laurel Avenue
Venice, FL 34285-7832
Mailing address
915 Laurel Ave
Venice, FL 34285-7832
Phone (330) 729-2929
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260127002824 | FL | Order and Referring Only - Hospice/Palliative Care | 6204314792 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME177536 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1407533771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 LAUREL AVE",
"city": "VENICE",
"state": "FL",
"postal_code": "342857832",
"telephone_number": "330-729-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 LAUREL AVENUE",
"city": "VENICE",
"state": "FL",
"postal_code": "342857832",
"telephone_number": "303-240-6665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOUD",
"first_name": "AHMAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-29",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME177536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.