Individual provider Active NPI

Sayed Mahmud, LLD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1447822259
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P110341 Issued in NY
Practice address
309 Rutledge St Ste 2B
Brooklyn, NY 11211-7512
Phone
(845) 738-8770
NPI assigned
Jul 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X P110341 NY Primary

Addresses

Primary practice location

309 Rutledge St Ste 2B
Brooklyn, NY 11211-7512

Mailing address

309 Rutledge St Ste 2B
Brooklyn, NY 11211-7512
Phone (845) 738-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210720002292 NY Practitioner - Internal Medicine 6103229711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
23.43 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
78.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P110341NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ilm Medical Care PLLC Single Specialty CurrentSince Dec 19, 2023 Accepting new patients
Clear Choice Medical PC Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Jackson Heights Care Center, LLC Past Accepting new patients

Locations

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

3438 Bell Blvd
Ste 301
Bayside, NY 11361

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

641 W 230th St
Bronx, NY 10463
Phone (646) 285-1720

309 Rutledge St
Ste 2B
Brooklyn, NY 11211
Phone (718) 552-0216

11909 26th Ave
Flushing, NY 11354
Phone (718) 434-0600

7005 35th Ave
Jackson Hts, NY 11372
Phone (718) 424-6800

Organizations & group practices 3

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": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1447822259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 RUTLEDGE ST STE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117512",
            "telephone_number": "845-738-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 RUTLEDGE ST STE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117512",
            "telephone_number": "845-738-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMUD",
        "first_name": "SAYED",
        "credential": "LLD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P110341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.