Active NPI
Mahmoud Mahmoud, M.D.
- Nephrology Physician
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 16569
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- FMC - Tradition
- Fresenius Kidney Care Port Salerno
- Rai Care Centers - Port Saint Lucie
- Bma - Port Saint Lucie
- Cleveland Clinic Martin North Hospital
- Encompass Health Rehab Hospital an Affiliate of Ma
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 152567 | FL | MD | Nephrology Physician |
| 16569 | ND | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | 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
- 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.
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Multi-Specialty Clinic/Center
- Thief River Falls, MN
- NPI 1386047355
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Community/Retail Pharmacy
- Thief River Falls, MN
- NPI 1346423373
-
- Multi-Specialty Clinic/Center
- Thief River Falls, MN
- NPI 1861895906
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Port Saint Lucie, FL
- NPI 1134231988
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Stuart, FL
- NPI 1790320943
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Port Saint Lucie, FL
- NPI 1083623078
Dialysis facility
-
- Rehabilitation Hospital
- Stuart, FL
- NPI 1942553599
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.