Active NPI
Osama Mohamed F. M. Mahmoud, M.D
- Advanced Heart Failure and Transplant Cardiology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician
- License
- 62724
- Practice address
- 6027 Walnut Grove Rd Ste 112
Memphis, TN 38120-2115 - Phone
- (901) 271-1000
- Fax
- (901) 271-4187
- NPI assigned
- Jun 9, 2014
- Last updated
- Mar 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 62724 | TN | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | 62724 | TN | Primary |
Addresses
Primary practice location
6027 Walnut Grove Rd Ste 112
Memphis, TN 38120-2115
Mailing address
8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6025 Walnut Grove
Suite 111
Memphis, TN 38120
Phone (901) 271-1000
6027 Walnut Grove Rd
Suite 112
Memphis, TN 38120-2115
Phone (901) 271-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62724 | TN | MD | Advanced Heart Failure and Transplant Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stern Cardiovascular Foundation, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Stern Cardiovascular Center, PA | Cardiovascular Disease | Current | Accepting new patients |
| Baptist Memorial Hospital | Past | Accepting new patients |
Locations
6025 Walnut Grove Rd
Ste 111
Memphis, TN 38120
Phone (901) 226-2000
8060 Wolf River Blvd
Memphis, TN 38138
Phone (901) 271-2272
Interoperability endpoints
- omahmoud472202@direct.bmhcc.org
- osamamahmoud@stern.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1699790311
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1316242266
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1467865279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8060 WOLF RIVER BLVD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381727",
"telephone_number": "901-271-1000",
"fax_number": "901-271-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6027 WALNUT GROVE RD STE 112",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202115",
"telephone_number": "901-271-1000",
"fax_number": "901-271-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOUD",
"first_name": "OSAMA",
"middle_name": "MOHAMED F. M.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-09",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TN",
"license": "62724",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "TN",
"license": "62724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Mahir R Awdeh MD PC
- Fred Wright Mahler, DPH
- Mahmood 'Tony' Ali, MD (Adult and Adolescent Medicine Clinics, PLLC)
- Ammar Obaid Mahmood, MD
- Hussien Mahmoud, DO
- Lisa Smith Mahoney, APRN-BC
- Porshia Elise Mahoro, DNP, APRN, FNP-C
- Maic PC (Memphis Accident and Injury Center)
- Robert Joseph Maichrowicz, PH.D.
- Mary Grace Maiden, PA-S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.