Individual provider Active NPI

Mansoor Mahmood

  • Internal Medicine Physician
  • Phelps, KY
National Provider Identifier
1518046994
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31447 Issued in KY
Practice address
48 Phillips Branch Rd
Box 1085
Phelps, KY 41553-9061
Phone
(606) 456-3477
Fax
(606) 456-8246
NPI assigned
Nov 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 31447 KY Primary

Addresses

Primary practice location

48 Phillips Branch Rd
Box 1085
Phelps, KY 41553-9061

Mailing address

PO Box 144
Forest Hills, KY 41527-0144
Phone (606) 456-3477

Other names 1

  • Mansoor Mahmood Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20031212000105 KY Practitioner - Internal MedicinePractitioner - Emergency Medicine 1850297466 Reassigns benefits to 5 organizations
Practice locations: Phelps, KY; South Williamson, KY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

260 Hospital Dr
South Williamson, KY 41503-4072
Phone (606) 237-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31447KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services Associates Internal Medicine Current Accepting new patients
Family Medical Center Internal Medicine CurrentSince Aug 12, 2021 Accepting new patients
Arh Tug Valley Health Services, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc. Internal Medicine CurrentSince Aug 10, 2000 Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Mar 26, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 10, 2000 Accepting new patients
Green Valley Emergency Physicians, LLC CurrentSince Jun 1, 2025 Accepting new patients
Williamson Emergency Physicians LLC CurrentSince Feb 1, 2008 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Mar 26, 2022 Accepting new patients
Middlesborough Emergency Physicians LLC CurrentSince May 1, 2011 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Health Service Corporation Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients

Locations

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

625 James Trimble Blvd
Paintsville, KY 41240

713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

306 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1740

306 Hospital Dr
Ste 101
South Williamson, KY 41503
Phone (606) 237-1000

Interoperability endpoints

  • Direct secure messaging: mansoormahmood@arh.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family Medical CenterSouth Williamson, KY, CCN B03888 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
Operational/Managerial Control
Aug 12, 2021
Aug 12, 2021
Aug 12, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 1

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": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518046994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "FOREST HILLS",
            "state": "KY",
            "postal_code": "415270144",
            "telephone_number": "606-456-3477",
            "fax_number": "606-456-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 PHILLIPS BRANCH RD",
            "address_2": "BOX 1085",
            "city": "PHELPS",
            "state": "KY",
            "postal_code": "415539061",
            "telephone_number": "606-456-3477",
            "fax_number": "606-456-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "MANSOOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "31447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANSOOR",
            "last_name": "MAHMOOD",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phelps, KY

Sources for this page

Verify at the official NPI Registry.