Active NPI
Edna Z Mahmood, M.D.
- Ophthalmology Physician
- Wyomissing, PA
National Provider Identifier
1609846609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD-038669-L
- Practice address
- 1 Granite Point Dr
Suite 100
Wyomissing, PA 19610-1986 - Phone
- (610) 378-1344
- Fax
- (610) 378-5169
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD-038669-L | PA | Primary |
Addresses
Primary practice location
1 Granite Point Dr
Suite 100
Wyomissing, PA 19610-1986
Mailing address
1 Granite Point Dr
Suite 100
Wyomissing, PA 19610-1986
Phone (610) 378-1344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180025846 | Other | PA | RAILROAD MEDICARE |
| 0795512 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-038669-L | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Consultants of Pennsylvania, PC | Ophthalmology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Wyomissing, PA
- NPI 1033181904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1609846609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GRANITE POINT DR",
"address_2": "SUITE 100",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101986",
"telephone_number": "610-378-1344",
"fax_number": "610-378-5169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GRANITE POINT DR",
"address_2": "SUITE 100",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101986",
"telephone_number": "610-378-1344",
"fax_number": "610-378-5169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOOD",
"first_name": "EDNA",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD-038669-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180025846",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0795512",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.