NPIMap

Individual provider Active NPI

Shanta Mahmudi, MD

  • Family Medicine Physician
  • Nashua, NH
National Provider Identifier
1528061637
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11831 Issued in NH
Practice address
173 Daniel Webster Hwy
Nashua, NH 03060-5256
Phone
(603) 891-4804
Fax
(603) 891-4809
NPI assigned
May 23, 2005
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11831 NH Primary

Addresses

Primary practice location

173 Daniel Webster Hwy
Nashua, NH 03060-5256

Mailing address

C/O St Mary's Health System - Provider Enrollment
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8695

Other identifiers 1

IdentifierTypeStateIssuer
3074073MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20070926000424 NH Practitioner - Family Practice 2769576453 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Incare LLCGroup PAC ID 1153658851, 62 clinicians
Incare Tufts PLLCGroup PAC ID 3072013192, 49 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

166 Kinsley St
Suite 302
Nashua, NH 03060-3676
Phone (978) 519-4114

173 Daniel Webster Hwy
Nashua, NH 03060-5256
Phone (603) 891-4500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Mar 1, 2015 Accepting new patients
Incare Tufts PLLC CurrentSince Nov 22, 2025 Accepting new patients
St Joseph Hospital of Nashua NH Family Medicine CurrentSince Mar 1, 2015 Accepting new patients
Incare LLC CurrentSince Aug 13, 2025 Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients

Locations

565 Turnpike St
Ste 85
North Andover, MA 01845
Phone (978) 519-4114

166 Kinsley St
Ste 302
Nashua, NH 03060
Phone (603) 228-5935

17 Riverside St
Ste 202
Nashua, NH 03062
Phone (603) 577-5760

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

173 Daniel Webster Hwy
Nashua, NH 03060
Phone (603) 891-4400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD
  • Direct secure messaging: smahmudi1153334@direct.bsmhealth.org

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 10

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1528061637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT",
            "address_2": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8695",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 DANIEL WEBSTER HWY",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605256",
            "telephone_number": "603-891-4804",
            "fax_number": "603-891-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMUDI",
        "first_name": "SHANTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "11831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074073",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.