Individual provider Active NPI

Aneela Mahmud, MD

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1679794770
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
52508 Issued in AZ
Practice address
5701 W Talavi Blvd Ste 110
Glendale, AZ 85306-1887
Phone
(602) 843-1313
Fax
(602) 843-1313
NPI assigned
May 2, 2007
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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 125-050519 IL
Internal Medicine Physician 207R00000X D0072642 MD
Internal Medicine Physician 207R00000X 52508 AZ Primary

Addresses

Primary practice location

5701 W Talavi Blvd Ste 110
Glendale, AZ 85306-1887

Mailing address

2610 Whippet Way
Sedona, AZ 86336-5236
Phone (928) 554-1052

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

LicenseStateTypeSpecialty
52508AZMDInternal Medicine Physician
125-050519ILMDInternal Medicine Physician
D0072642MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acacia Internal Medicine Internal Medicine PastSince Nov 1, 1999 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Midwest Emergency Management, Inc. Past Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: optimalhealth@draneela.officeally.direct

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1679794770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 WHIPPET WAY",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365236",
            "telephone_number": "928-554-1052",
            "fax_number": "928-554-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W TALAVI BLVD STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061887",
            "telephone_number": "602-843-1313",
            "fax_number": "602-843-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMUD",
        "first_name": "ANEELA",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125-050519",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0072642",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "52508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.