Individual provider Active NPI

Mahmoud Mahmoud, M.D.

  • Nephrology Physician
  • Stuart, FL
National Provider Identifier
1457715161
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
16569 Issued in ND
Practice address
509 SE Riverside Dr Ste 203
Stuart, FL 34994-2579
Phone
(772) 223-5945
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 16569 ND Primary
Nephrology Physician 207RN0300X 67265 MN
Nephrology Physician 207RN0300X 152567 FL

Addresses

Primary practice location

509 SE Riverside Dr Ste 203
Stuart, FL 34994-2579

Mailing address

509 SE Riverside Dr Ste 203
Stuart, FL 34994-2579

Other practice location 1

Sanford Medical Center
5225 23rd Ave S
Fargo, ND 58104
Phone (701) 417-2000

Other names 1

  • Mahmoud Shehata Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN, 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
I20201014000679 ND Practitioner - Nephrology 4284923624 Reassigns benefits to 1 organization
I20210211001793 MN Practitioner - Nephrology 4284923624 Reassigns benefits to 2 organizations
I20220824001863 FL Practitioner - Nephrology 4284923624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Martin Memorial Medical Center IncGroup PAC ID 2961300611, 514 clinicians

Practice addresses (Care Compare)

1651 SE Tiffany Ave
Port Saint Lucie, FL 34952-7500
Phone (772) 223-5665

Hospital & facility affiliations

  • Treasure Coast Kidney Center North Dialysis facility, Stuart, FL, CCN 102525
  • FMC - Tradition Dialysis facility, Port Saint Lucie, FL, CCN 102891
  • Fresenius Kidney Care Port Salerno Dialysis facility, Stuart, FL, CCN 682694
  • Rai Care Centers - Port Saint Lucie Dialysis facility, Port Saint Lucie, FL, CCN 102603
  • Bma - Port Saint Lucie Dialysis facility, Port Saint Lucie, FL, CCN 102609
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Encompass Health Rehab Hospital an Affiliate of Ma Inpatient rehabilitation facility, Stuart, FL, CCN 103044

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
152567FLMDNephrology Physician
16569NDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Sanford Health Network North CurrentSince Oct 23, 2020 Accepting new patients
Sanford Health Network North CurrentSince Oct 23, 2020 Accepting new patients
Sanford Medical Center Fargo CurrentSince Aug 24, 2020 Accepting new patients
Sanford Health Network North Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Aug 24, 2020 Accepting new patients

Locations

10080 SW Innovation Way
Ste 201
Port St Lucie, FL 34987
Phone (772) 344-3811

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 221-2003

509 SE Riverside Dr
Ste 203
Stuart, FL 34994
Phone (772) 286-1550

1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mmahmoud2500988@direct.ccf.org

Organizations & group practices 7

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1457715161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SE RIVERSIDE DR STE 203",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SE RIVERSIDE DR STE 203",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942579",
            "telephone_number": "772-223-5945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Sanford Medical Center",
            "address_2": "5225 23rd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "58104",
            "country_code": "US",
            "telephone_number": "701-417-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "MAHMOUD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ND",
            "license": "16569",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "67265",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "152567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHMOUD",
            "last_name": "SHEHATA",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.