Individual provider Active NPI

Hossain Said Mahmoudian, MD

  • Surgery Physician
  • Salisbury, MD
National Provider Identifier
1720366552
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0080916 Issued in MD
Practice address
6507 Deer Pointe Dr
Salisbury, MD 21804-1667
Phone
(410) 543-9332
Fax
(410) 543-9237
NPI assigned
Jul 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X D0080916 MD Primary

Addresses

Primary practice location

6507 Deer Pointe Dr
Salisbury, MD 21804-1667

Mailing address

6507 Deer Pointe Dr
Salisbury, MD 21804-1667
Phone (410) 543-9332

Other identifiers 1

IdentifierTypeStateIssuer
874043700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160525002728 MD Practitioner - Vascular SurgeryPractitioner - General Surgery 8729399084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Atlantic Surgical GroupGroup PAC ID 0749259448, 8 clinicians

Practice addresses (Care Compare)

6507 Deer Pointe Dr
Salisbury, MD 21804-1667
Phone (410) 543-9332

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006

Merit-based Incentive Payment System (MIPS)

Final score
96.99 of 100Reported as individual
Quality
93.33
Promoting interoperability
93
Improvement activities
40
Cost
79.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)52
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0080916MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Atlantic Surgical Group Surgery CurrentSince Jul 1, 2016 Accepting new patients
Trauma Surgical Assoc PastSince Jun 1, 2018 Accepting new patients

Locations

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

6507 Deer Pointe Dr
Salisbury, MD 21804
Phone (410) 543-9332

Interoperability endpoints

  • Direct secure messaging: hossain.saidmahmoudian@masg.eclinicaldirectplus.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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1720366552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 DEER POINTE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041667",
            "telephone_number": "410-543-9332",
            "fax_number": "410-543-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 DEER POINTE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041667",
            "telephone_number": "410-543-9332",
            "fax_number": "410-543-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAID MAHMOUDIAN",
        "first_name": "HOSSAIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0080916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874043700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.