Active NPI
Mahmoud Alameddine
- Urology Physician
- Ottumwa, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD-44961
- Practice address
- 1003 Pennsylvania Ave
Ottumwa, IA 52501-2108 - Phone
- (641) 684-3208
- Fax
- (641) 684-3209
- NPI assigned
- Jul 10, 2014
- Last updated
- Jul 20, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN19840 | FL | |
| Urology Physician | 208800000X | MD-44961 | IA | Primary |
Addresses
Primary practice location
1003 Pennsylvania Ave
Ottumwa, IA 52501-2108
Mailing address
1003 Pennsylvania Ave
Ottumwa, IA 52501-2108
Phone (641) 684-3208
Other practice location 1
1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 355-1123
Other practice location 2
1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 355-1123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 684-2466
Hospital & facility affiliations
- Ottumwa Regional Health Center
- Jefferson County Health Center
- Davis County Hospital
- University of Iowa Hospital & Clinics
- Mahaska Health Partnership
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN19840 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ottumwa Health Group LLC | Current | Accepting new patients | |
| Ottumwa Health Group LLC | Current | Accepting new patients |
Locations
1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111
1001 Pennsylvania Ave
Ofc
Ottumwa, IA 52501
1003 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 682-2514
1013 Pennsylvania Ave
Ste E
Ottumwa, IA 52501
Phone (641) 684-3111
Interoperability endpoints
- mahmoud.alameddine.1@6270.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gynecology Physician
- Ottumwa, IA
- NPI 1386956290
-
dba Ottumwa Women's Health Clinic
- Rural Health Clinic/Center
- Ottumwa, IA
- NPI 1336919364
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bloomfield, IA
- NPI 1942255666
-
dba Jefferson County Health Center
- Critical Access Hospital
- Fairfield, IA
- NPI 1376648329
-
dba Ottumwa Regional Health Center
- General Acute Care Hospital
- Ottumwa, IA
- NPI 1013233741
-
dba University of Iowa Health Care Medical Center
- General Acute Care Hospital
- Iowa City, IA
- NPI 1376544320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1730595778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 PENNSYLVANIA AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012108",
"telephone_number": "641-684-3208",
"fax_number": "641-684-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 PENNSYLVANIA AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012108",
"telephone_number": "641-684-3208",
"fax_number": "641-684-3209"
}
],
"practiceLocations": [
{
"address_1": "1611 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361005",
"country_code": "US",
"telephone_number": "305-355-1123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1611 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361005",
"country_code": "US",
"telephone_number": "305-355-1123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALAMEDDINE",
"first_name": "MAHMOUD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-10",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN19840",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IA",
"license": "MD-44961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.