Omnia Saad Hanafy Mahmoud, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

030218 Issued in NY

Practice address

5100 W Taft Rd Ste 4D
Liverpool, NY 13088-3810

Phone

(315) 458-6669

Fax

(315) 458-0819

NPI assigned

Jun 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Associated Medical Professionals of Ny PLLCGroup PAC ID 0749378123, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oswego Hospital Hospital, Oswego, NY, CCN 330218
• Samaritan Medical Center Hospital, Watertown, NY, CCN 330157

Merit-based Incentive Payment System (MIPS)

Final score

92.62 of 100Reported as apm

Quality

77.97

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omahmoud395974@bassett.direct-ci.net
• Direct secure messaging: omahmoud@ampofny.medentdirect.com

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.

• Associated Medical Professionals of Ny, PLLC

  • Urology Physician
  • Syracuse, NY
  • NPI 1467659060
  Medicare reassignment Care Compare group NPD
• Mary Imogene Bassett Hospital

  • Multi-Specialty Clinic/Center
  • Cooperstown, NY
  • NPI 1083664221
  Medicare reassignment NPD
• Associated Medical Professionals of Ny, PLLC

  • Urology Physician
  • Fulton, NY
  • NPI 1386062990
  NPD
• Mary Imogene Bassett Hospital

  • Specialty Pharmacy
  • Oneonta, NY
  • NPI 1174419196
  NPD

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

• Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
  • NPI 1871678458
  Care Compare affiliation
• Samaritan Medical Center

  • General Acute Care Hospital
  • Watertown, NY
  • NPI 1598713745
  Care Compare affiliation

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1568147478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 METROPOLITAN PARK DR STE 100",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130887112",
            "telephone_number": "315-870-9369",
            "fax_number": "315-870-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD STE 4D",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883810",
            "telephone_number": "315-458-6669",
            "fax_number": "315-458-0819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Atwell Rd",
            "address_purpose": "LOCATION",
            "city": "Cooperstown",
            "state": "NY",
            "postal_code": "133261394",
            "country_code": "US",
            "telephone_number": "607-547-3075",
            "fax_number": "607-547-6553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Ellinwood Dr",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134131102",
            "country_code": "US",
            "telephone_number": "315-724-1012",
            "fax_number": "315-724-5219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "192 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130213361",
            "country_code": "US",
            "telephone_number": "315-258-5253",
            "fax_number": "315-258-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1226 E Water St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101155",
            "country_code": "US",
            "telephone_number": "315-478-4185",
            "fax_number": "315-478-0840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 W Genesee St Ste 124",
            "address_purpose": "LOCATION",
            "city": "Camillus",
            "state": "NY",
            "postal_code": "130313206",
            "country_code": "US",
            "telephone_number": "315-478-4185",
            "fax_number": "315-478-0840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "357 Genesee St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "NY",
            "postal_code": "134212658",
            "country_code": "US",
            "telephone_number": "315-363-8862",
            "fax_number": "315-363-3326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4211 Medical Center Dr Ste 211",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NY",
            "postal_code": "130666637",
            "country_code": "US",
            "telephone_number": "315-329-0210",
            "fax_number": "315-329-0215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 E Main St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "136171450",
            "country_code": "US",
            "telephone_number": "315-714-2559",
            "fax_number": "315-386-3056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "OMNIA",
        "middle_name": "SAAD HANAFY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma L Madonna
• Lucas William Maffei, NP-C
• Kristine D Magill
• Nina Magliocca
• Magnetic Resonance Imaging of Central New York, PLLC
• Nancy Anna Mahr-Tyler
• Connor Maile
• Atul Maini, M.D.
• Jill C Malinowski, NP
• Clare Maliwacki

• Physician Assistant in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.