Individual provider Active NPI

Tamer H Mahmoud, MD

  • Retina Specialist (Ophthalmology) Physician
  • Royal Oak, MI
National Provider Identifier
1588604458
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
4301085338 Issued in MI
Practice address
3555 W 13 Mile Rd # LL-20
Royal Oak, MI 48073-6710
Phone
(248) 288-2280
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200300063 NC
Ophthalmology Physician 207W00000X 4301085338 MI
Retina Specialist (Ophthalmology) Physician 207WX0107X 4301085338 MI Primary

Addresses

Primary practice location

3555 W 13 Mile Rd # LL-20
Royal Oak, MI 48073-6710

Mailing address

39650 Orchard Hill PL
Novi, MI 48375-5391
Phone (248) 319-0161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmahmoud@arcmi.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050820000023 MI Practitioner - Ophthalmology 1456381359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Retinal Consultants PCGroup PAC ID 2264344746, 30 clinicians
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

2609 Electric Ave
Suite a
Port Huron, MI 48060-6589
Phone (810) 982-1300

28100 Grand River Ave
Farmington Hills, MI 48336-5970

3555 W 13 Mile Rd
Royal Oak, MI 48073-6710
Phone (248) 288-2280

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058

36650 Five Mile Rd
Suite 102
Livonia, MI 48154-1956
Phone (734) 464-2300

860 E Front St
Traverse City, MI 49686-2704
Phone (231) 938-0710

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as group
Quality
91.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301085338MIMDOphthalmology Physician
200300063NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants, PC Ophthalmology CurrentSince Sep 1, 2017 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Apr 21, 2018 Accepting new patients
Associated Retinal Consultants, PC Ophthalmology Past Accepting new patients
University Physician Group Ophthalmology Past Accepting new patients
Alliance Physicians Inc Past Accepting new patients

Locations

4050 S River Rd
East China, MI 48054
Phone (810) 329-9045

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

36650 5 Mile Rd
Ste 102
Livonia, MI 48154
Phone (734) 464-2300

2609 Electric Ave
Ste A
Port Huron, MI 48060
Phone (810) 981-1300

2603 Electric Ave
Ste 1
Port Huron, MI 48060
Phone (810) 824-4198

3555 W 13 Mile Rd
#20
Royal Oak, MI 48073
Phone (248) 288-2269

3535 W 13 Mile Rd
Ste 555
Royal Oak, MI 48073
Phone (248) 551-2020

3555 W 13 Mile Rd
Ste LL20
Royal Oak, MI 48073
Phone (248) 288-2280

860 E Front St
Traverse City, MI 49686
Phone (231) 938-0710

Interoperability endpoints

  • Direct secure messaging: tmahmoud1244720@epic00.shdirect.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1588604458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39650 ORCHARD HILL PL",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755391",
            "telephone_number": "248-319-0161",
            "fax_number": "248-319-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 W 13 MILE RD # LL-20",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-288-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "TAMER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200300063",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301085338",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301085338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmahmoud@arcmi.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "3555 W 13 Mile Rd # Ll-20",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.