Individual provider Active NPI

Tahmina Mahmood, M.D

  • Dermatology Physician
  • Chicago, IL
National Provider Identifier
1609254564
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036-157349 Issued in IL
Practice address
259 E Erie St Ste 2250
Chicago, IL 60611-3264
Phone
(312) 695-8106
Fax
(312) 926-6165
NPI assigned
May 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10054311 TX
Dermatology Physician 207N00000X 036-157349 IL Primary
Dermatology Physician 207N00000X S1859 TX

Addresses

Primary practice location

259 E Erie St Ste 2250
Chicago, IL 60611-3264

Mailing address

259 E Erie St Ste 2250
Chicago, IL 60611-3264
Phone (312) 695-8106

Other practice location 1

836 N Meacham Rd
Schaumburg, IL 60173-4922
Phone (630) 871-6690

Other practice location 2

1300 N Arlington Heights Rd
Itasca, IL 60143-3108
Phone (630) 871-6690

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tmahmood234607@direct.edward.org
Direct Messaging Address tahmina.mahmood@dulyhealthandcare.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20210922002681 IL Practitioner - Dermatology 2365739810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas a & M University System, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

259 E Erie St
Suite 2250
Chicago, IL 60611-3264
Phone (312) 926-6000

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions353
Removal or shaving of skin growth1-10
Skin biopsy169

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10054311TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Feb 1, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Feb 1, 2023 Accepting new patients
Central Dupage Physician Group Internal Medicine Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

259 E Erie St
Ste 2250
Chicago, IL 60611
Phone (312) 695-8106

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Interoperability endpoints

  • Direct secure messaging: tmahmood234607@direct.edward.org
  • Direct secure messaging: tmahmood62857@direct.sw.org
  • Direct secure messaging: tmahmood234607@dulyhealthandcare.direct-ci.com

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.

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1609254564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E ERIE ST STE 2250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113264",
            "telephone_number": "312-695-8106",
            "fax_number": "312-926-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E ERIE ST STE 2250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113264",
            "telephone_number": "312-695-8106",
            "fax_number": "312-926-6165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 N Meacham Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601734922",
            "country_code": "US",
            "telephone_number": "630-871-6690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 N Arlington Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Itasca",
            "state": "IL",
            "postal_code": "601433108",
            "country_code": "US",
            "telephone_number": "630-871-6690",
            "fax_number": "630-547-5019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "TAHMINA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10054311",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-157349",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S1859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmahmood234607@direct.edward.org",
            "affiliation": "N",
            "address_1": "1300 N Arlington Heights Rd",
            "city": "Itasca",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601433108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tahmina.mahmood@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "836 N Meacham Rd",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601734922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.