Individual provider Active NPI

Mushtaq Mahmood, MD.

  • Adolescent Medicine (Internal Medicine) Physician
  • Elyria, OH
National Provider Identifier
1497733075
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
57.016032 Issued in OH
Practice address
10325 Dewhurst Rd
Ohio Medical Group
Elyria, OH 44035-8403
Phone
(440) 414-9260
Fax
(216) 201-5581
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 57.016032 OH
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 57.016032 OH Primary

Addresses

Primary practice location

10325 Dewhurst Rd
Ohio Medical Group
Elyria, OH 44035-8403

Mailing address

10325 Dewhurst Rd
Elyria, OH 44035-8403
Phone (440) 414-9260

Other identifiers 1

IdentifierTypeStateIssuer
0067078MedicaidOH

Other names 1

  • Dr. Mushtaq Mahmood Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mushtaqmahmood@nohomg.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120820001195 OH Practitioner - Internal MedicinePractitioner - Hospitalist 9032130554 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians
Community Hospitalist LLCGroup PAC ID 5496648123, 50 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 557-7400

158 W Main Rd
Conneaut, OH 44030-2039

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (440) 960-4000

630 E River St
Elyria, OH 44035-5902
Phone (440) 329-7500

7580 Auburn Rd
Suite 214
Concord Township, OH 44077-9617
Phone (440) 354-0944

Hospital & facility affiliations

  • Elara Caring Home health agency, Mentor, OH, CCN 367173
  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Bella Care Hospice Hospice, Westerville, OH, CCN 361646
  • Suncrest Hospice Cleveland LLC Hospice, Independence, OH, CCN 361726
  • Hospice of the Western Reserve, Inc Hospice, Cleveland, OH, CCN 361503
  • Nivalis Hospice Hospice, Westlake, OH, CCN 361705
  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Magruder Hospital Hospital, Port Clinton, OH, CCN 361314
  • Bellevue Hospital Hospital, Bellevue, OH, CCN 360107
  • St Mary of the Woods Nursing home, Avon, OH, CCN 366342
  • Avon Oaks Nursing Home Nursing home, Avon, OH, CCN 365762
  • Woods on French Creek Nursing & Rehab Center the Nursing home, Avon, OH, CCN 366426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001923CTMDChiropractor
57.016032OHMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Aug 1, 2018 Accepting new patients
North East Ohio Group Practice LLC CurrentSince Jul 1, 2012 Accepting new patients
North Coast Professional Company, LLC CurrentSince Aug 1, 2018 Accepting new patients
Hni Medical Services of Ohio, LLC Hospitalist CurrentSince Oct 12, 2019 Accepting new patients
University Primary Care Practices Inc CurrentSince Oct 1, 2021 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Apr 1, 2018 Accepting new patients
University Primary Care Practices Inc CurrentSince Oct 1, 2021 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Community Hospitalist, LLC Hospitalist CurrentSince Feb 13, 2013 Accepting new patients
Firelands Regional Medical Center Past Accepting new patients
University Primary Care Practices Past Accepting new patients
Avon Healthcare Center, Inc. Past Accepting new patients
R & J Investment Co Inc Past Accepting new patients
Emh Regional Medical Center Past Accepting new patients

Locations

12340 Bass Lake Rd
Chardon, OH 44024
Phone (440) 279-2415

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

125 E Broad St
Ste 305
Elyria, OH 44035
Phone (440) 326-4120

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

29325 Health Campus Dr
Ste 3
Westlake, OH 44145
Phone (440) 414-9400

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Interoperability endpoints

  • Direct secure messaging: mmahmood37302@ehrdirect.uhhospitals.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1497733075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10325 DEWHURST RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440358403",
            "telephone_number": "440-414-9260",
            "fax_number": "216-201-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10325 DEWHURST RD",
            "address_2": "OHIO MEDICAL GROUP",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440358403",
            "telephone_number": "440-414-9260",
            "fax_number": "216-201-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "MUSHTAQ",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "57.016032",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "OH",
            "license": "57.016032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067078",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mushtaqmahmood@nohomg.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10325 Dewhurst Rd",
            "address_2": "Ohio Medical Group",
            "city": "Elyria",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440358403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MUSHTAQ",
            "last_name": "MAHMOOD",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.