Individual provider Active NPI

Mahmoud Abdelmonem Mohamed, M.D.

  • Psychiatry Physician
  • Terrell, TX
National Provider Identifier
1699764688
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N5875 Issued in TX
Practice address
1200 East Brin Street
Terrell State Hospital
Terrell, TX 75160
Phone
(972) 551-8166
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 016849 ME
Psychiatry Physician 2084P0800X N5875 TX Primary

Addresses

Primary practice location

1200 East Brin Street
Terrell State Hospital
Terrell, TX 75160

Mailing address

460 Main St
Suite 201
Madawaska, ME 04756-1014
Phone (207) 728-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120727000577 TX Practitioner - Psychiatry 4789614728 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 E Brin St
Terrell State Hospital
Terrell, TX 75160-2938
Phone (972) 524-6452

619 W FM
544 Suite a
Murphy, TX 75094-4587
Phone (214) 945-4040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Health and Human Services Commission Psychiatry Current Accepting new patients
Med Management Associates Psychiatry CurrentSince Apr 21, 2021 Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients
Murphy Psychiatric Services PLLC Psychiatry PastSince Aug 1, 2015 Accepting new patients
Aroostook Mental Health Services, Inc. Psychiatry PastSince Jul 10, 2016 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Psychiatry Past Accepting new patients

Locations

4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

1200 E Brin St
Terrell, TX 75160
Phone (972) 524-6452

Organizations & group practices 8

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1699764688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MAIN ST",
            "address_2": "SUITE 201",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561014",
            "telephone_number": "207-728-7300",
            "fax_number": "207-728-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EAST BRIN STREET",
            "address_2": "TERRELL STATE HOSPITAL",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "75160",
            "telephone_number": "972-551-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "MAHMOUD",
        "middle_name": "ABDELMONEM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "016849",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N5875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

Verify at the official NPI Registry.