Individual provider Active NPI

Mahmood El-Gasim, MD

  • Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
  • Phoenix, AZ
National Provider Identifier
1477814739
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianTaxonomy code 207WX0108X
License
53975 Issued in AZ
Practice address
4800 N 22ND St
Phoenix, AZ 85016-4701
Phone
(602) 955-1000
Fax
(602) 508-4830
NPI assigned
Jun 4, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 53975 AZ
Retina Specialist (Ophthalmology) Physician 207WX0107X 53975 AZ
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X 53975 AZ Primary

Addresses

Primary practice location

4800 N 22ND St
Phoenix, AZ 85016-4701

Mailing address

4800 N 22ND St
Phoenix, AZ 85016-4701
Phone (602) 955-1000

Other identifiers 1

IdentifierTypeStateIssuer
254851MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170420001986 AZ Practitioner - Ophthalmology 5294011524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnet Dulaney Perkins Eye Center, PCGroup PAC ID 0749288298, 104 clinicians

Practice addresses (Care Compare)

4800 N 22ND St
Suite 120
Phoenix, AZ 85016-4962
Phone (602) 955-1000

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53975AZMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology CurrentSince Jul 1, 2017 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Jul 1, 2017 Accepting new patients
Retinal Consultants of Arizona LTD Ophthalmology CurrentSince Feb 3, 2024 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Current Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Past Accepting new patients
Eyenet Triage, PLC Ophthalmology Past Accepting new patients

Locations (25 of 29)

855 S Dobson Rd
Ste 1
Chandler, AZ 85224

199 S Candy Ln
Ste 2A
Cottonwood, AZ 86326
Phone (928) 632-2883

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

1712 E Boston St
Gilbert, AZ 85295

520 S Hill St
Globe, AZ 85501
Phone (928) 425-8989

1626 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (817) 995-2500

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

2110 Airway Ave
Kingman, AZ 86409
Phone (928) 681-1800

1355 W White Mountain Blvd
Ste A
Lakeside, AZ 85929
Phone (928) 358-4086

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

13943 N 91st Ave
Ste D101
Peoria, AZ 85381

13943 N 91st Ave
Bldg D
Peoria, AZ 85381

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

15401 N 29th Ave
Phoenix, AZ 85053
Phone (602) 583-2020

1101 E Missouri Ave
Phoenix, AZ 85014
Phone (602) 222-2221

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488

3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

95 Soldiers Pass Rd
Ste A2
Sedona, AZ 86336
Phone (928) 203-1177

1610 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 537-3937

1951 S White Mountain Rd
Ste 101
Show Low, AZ 85901

1951 S White Mountain Rd
Ste 1001
Show Low, AZ 85901
Phone (928) 537-2010

Interoperability endpoints

  • Direct secure messaging: mahmood.elgasim@direct.avp.nextgenshare.com

Organizations & group practices 6

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1477814739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-GASIM",
        "first_name": "MAHMOOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "53975",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "53975",
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "AZ",
            "license": "53975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254851",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.