Individual provider Active NPI

Mutaz Abdurahman Gorashi Elmahi, M.D.

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1760680946
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125-053702 Issued in IL
Practice address
1200 N Elm St
Suite 3509
Greensboro, NC 27401-1004
Phone
(336) 832-4380
Fax
(336) 832-4382
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125-053702 IL Primary
Internal Medicine Physician 207R00000X 2010-01852 NC

Addresses

Primary practice location

1200 N Elm St
Suite 3509
Greensboro, NC 27401-1004

Mailing address

1200 N Elm St
Suite 3509
Greensboro, NC 27401-1004
Phone (336) 832-4380

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
I20180830003615 TX Practitioner - Internal Medicine 7113113986 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Integrity MD PLLCGroup PAC ID 9436500048, 16 clinicians

Practice addresses (Care Compare)

1011 N Galloway Ave
Mesquite, TX 75149-2433
Phone (214) 660-2518

Hospital & facility affiliations

  • Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Cheyenne Medical Lodge Nursing home, Mesquite, TX, CCN 676466

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-053702ILMDInternal Medicine Physician
2010-01852NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Integrity MD PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Jul 10, 2018 Accepting new patients
Star Ed PLLC CurrentSince Jun 14, 2020 Accepting new patients
Texas Health Physicians Group CurrentSince May 25, 2020 Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince May 25, 2020 Accepting new patients
Nocona Hospital District Past Accepting new patients
Dallas County Hospital District Past Accepting new patients
Prime Healthcare Services Mesquite LLC Past Accepting new patients
Moses Cone Physician Services, Inc. Internal Medicine Past Accepting new patients

Locations

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

9 Medical Pkwy
Dallas, TX 75234
Phone (972) 243-5558

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cheyenne Medical LodgeMesquite, TX, CCN 676466 Skilled nursing facility Adp of the SNF Sep 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1760680946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "address_2": "SUITE 3509",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-4380",
            "fax_number": "336-832-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "address_2": "SUITE 3509",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-4380",
            "fax_number": "336-832-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMAHI",
        "first_name": "MUTAZ",
        "middle_name": "ABDURAHMAN GORASHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125-053702",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2010-01852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.