Individual provider Active NPI

Syed Mohammad Jafar Mahmood, MD

  • Pain Medicine (Anesthesiology) Physician
  • Sacramento, CA
National Provider Identifier
1689165367
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
185249 Issued in CA
Practice address
1321 Howe Ave Ste 225
Sacramento, CA 95825-3357
Phone
(916) 564-2225
NPI assigned
May 29, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 185249 MI
Student in an Organized Health Care Education/Training Program 390200000X MI
Pain Medicine (Anesthesiology) Physician 207LP2900X 185249 CA Primary

Addresses

Primary practice location

1321 Howe Ave Ste 225
Sacramento, CA 95825-3357

Mailing address

1321 Howe Ave Ste 225
Sacramento, CA 95825-3357
Phone (916) 564-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220719002706 MI Practitioner - Emergency Medicine 9638550817 Reassigns benefits to 1 organization
I20240108003133 CA Practitioner - Emergency Medicine 9638550817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Florida Atlantic University, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1321 Howe Ave
Sacramento, CA 95825-3357
Phone (916) 564-2225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
185249CAMDPain Medicine (Anesthesiology) Physician
185249MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Emergency Medicine CurrentSince Jun 30, 2022 Accepting new patients
Regents of the University of Michigan CurrentSince Jun 30, 2022 Accepting new patients
Marc Maskowitz MD, a Professional Corporation CurrentSince Jul 1, 2024 Accepting new patients
Mahmood Medical Corporation Current Accepting new patients
Regents of the University of Michigan Current Accepting new patients
Regents of the University of Michigan Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

1321 Howe Ave
Ste 225
Sacramento, CA 95825
Phone (916) 564-2225

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823

1500 E Medical Center Dr
#B1
Ann Arbor, MI 48109
Phone (734) 936-4500

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1689165367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 HOWE AVE STE 225",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253357",
            "telephone_number": "916-564-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 HOWE AVE STE 225",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253357",
            "telephone_number": "916-564-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "SYED MOHAMMAD",
        "middle_name": "JAFAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "185249",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "185249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.