Individual provider Active NPI

Adnan Mahmood, DO

  • Neurology Physician
  • Avondale, AZ
National Provider Identifier
1528293149
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
6752 Issued in AZ
Practice address
10815 W McDowell Rd Ste 303
Avondale, AZ 85392-5016
Phone
(623) 433-0230
Fax
(623) 433-0211
NPI assigned
May 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 6752 AZ Primary

Addresses

Primary practice location

10815 W McDowell Rd Ste 303
Avondale, AZ 85392-5016

Mailing address

3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171
Phone (602) 633-3848

Other identifiers 1

IdentifierTypeStateIssuer
Z179808OtherAZMEDICARE

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
I20150904002336 AZ Practitioner - Neurology 8820239007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Arizona, LLCGroup PAC ID 1052328408, 94 clinicians

Practice addresses (Care Compare)

10815 W McDowell Rd
Suite 205
Avondale, AZ 85392-5010
Phone (623) 433-0202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6752AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Arizona, LLC CurrentSince Sep 1, 2015 Accepting new patients
Privia Medical Group Arizona, LLC Neurology CurrentSince Sep 1, 2015 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

10815 W McDowell Rd
Ste 303
Avondale, AZ 85392
Phone (602) 424-0935

10815 W McDowell Rd
Ste 2
Avondale, AZ 85392

10815 W McDowell Rd
Ste 201
Avondale, AZ 85392
Phone (623) 433-0230

10815 W McDowell Rd
Ste 205
Avondale, AZ 85392
Phone (623) 848-3295

14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190

9250 N 3rd St
Ste 4010
Phoenix, AZ 85020
Phone (602) 633-3838

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358

3815 E Bell Rd
Ste 4500
Phoenix, AZ 85032
Phone (602) 633-3838

Organizations & group practices 3

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1528293149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 4500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322171",
            "telephone_number": "602-633-3848",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 W MCDOWELL RD STE 303",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925016",
            "telephone_number": "623-433-0230",
            "fax_number": "623-433-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "ADNAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "6752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z179808",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.