NPIMap

Individual provider Active NPI

Khalid Mahmood

  • Internal Medicine Physician
  • Redding, CA
National Provider Identifier
1508516766
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A198732 Issued in CA
Practice address
1100 Butte St
Redding, CA 96001-0852
Phone
(530) 244-5400
Fax
(530) 244-5436
NPI assigned
Mar 28, 2022
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A198732 CA Primary

Addresses

Primary practice location

1100 Butte St
Redding, CA 96001-0852

Mailing address

9442 N St
Live Oak, CA 95953-2709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250922000597 CA Practitioner - Internal Medicine 2668847633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1355 E St
Suite 200
Redding, CA 96001-0801
Phone (530) 605-4260

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Regional Medical Group Inc CurrentSince Sep 1, 2025 Accepting new patients
Shasta Regional Medical Group, Inc CurrentSince Sep 1, 2025 Accepting new patients
Orna Gil MD Inc Current Accepting new patients
Shasta Regional Medical Center, LLC Past Accepting new patients

Locations

1801 W Olympic Blvd
#1640
Pasadena, CA 91199

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1508516766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9442 N ST",
            "city": "LIVE OAK",
            "state": "CA",
            "postal_code": "959532709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010852",
            "telephone_number": "530-244-5400",
            "fax_number": "530-244-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "KHALID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A198732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.