Individual provider Active NPI

Sarah Burlock Mahmoud, OD

  • Optometrist
  • Norfolk, VA
National Provider Identifier
1699344960
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003144 Issued in VA
Practice address
241 Corporate Blvd Ste 210
Norfolk, VA 23502-4965
Phone
(757) 742-3902
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003144 VA Primary
Optometrist 152W00000X TA2809 MD

Addresses

Primary practice location

241 Corporate Blvd Ste 210
Norfolk, VA 23502-4965

Mailing address

4130 Beachwood Rd
Dundalk, MD 21222-3605

Other practice location 1

6455 Dobbin Rd Ste 47
Columbia, MD 21045-5828
Phone (443) 542-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211011001679 MD Practitioner - Optometry 0941608632
I20221128002220 VA Practitioner - Optometry 0941608632 Reassigns benefits to 1 organization
I20240726000208 DC Practitioner - Optometry 0941608632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul Shannon CunninghamGroup PAC ID 2264466143, 2 clinicians

Practice addresses (Care Compare)

9131 Piscataway Rd
Suite 150
Clinton, MD 20735-2510
Phone (301) 868-8300

Merit-based Incentive Payment System (MIPS)

Final score
81.39 of 100Reported as group
Quality
77.12
Promoting interoperability
100
Improvement activities
40
Cost
60.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2809MDMDOptometrist
0618003144VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Eye Consultants Inc Optometrist CurrentSince Aug 30, 2022 Accepting new patients
Paul Shannon Cunningham CurrentSince May 22, 2024 Accepting new patients

Locations

9131 Piscataway Rd
Ste 650
Clinton, MD 20735

9131 Piscataway Rd
Ste 150
Clinton, MD 20735
Phone (202) 365-1120

241 Corporate Blvd
Ste 210
Norfolk, VA 23502
Phone (757) 742-3902

2020 General Booth Blvd
Virginia Beach, VA 23454
Phone (757) 742-3902

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sarah.mahmoud.p1@direct.vec.nextgenshare.com

Organizations & group practices 2

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1699344960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 BEACHWOOD RD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CORPORATE BLVD STE 210",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024965",
            "telephone_number": "757-742-3902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6455 Dobbin Rd Ste 47",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210455828",
            "country_code": "US",
            "telephone_number": "443-542-5999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "SARAH",
        "middle_name": "BURLOCK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003144",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.