Active NPI
Ali Mahmood, M.D.
- Cardiovascular Disease Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 100615
- Practice address
- 3300 Main Street
2ND FL Suite a
Springfield, MA 01107-1112 - Phone
- (413) 794-2273
- Fax
- (413) 794-0198
- NPI assigned
- Jun 10, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036141465 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 281462 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | 100615 | WI | Primary |
Addresses
Primary practice location
3300 Main Street
2ND FL Suite a
Springfield, MA 01107-1112
Mailing address
280 Chestnut Street
2ND FL
Springfield, MA 01199-1001
Phone (413) 794-5700
Other practice location 1
2300 N Edward St Ste 2350
Decatur, IL 62526-4192
Phone (217) 876-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100236593 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NJ, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100615 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Hunterdon Medical Center | Cardiovascular Disease | Current | Accepting new patients |
| Decatur Memorial Hospital | Current | Accepting new patients | |
| Hunterdon Cardiovascular Associates | Cardiovascular Disease | Current | Accepting new patients |
| Rush Oak Park Nocturnist | Internal Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Decatur Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Hunterdon Medical Center | Current | Accepting new patients |
Locations
75 Remittance Dr
Chicago, IL 60675
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
2300 N Edward St
Ste 2350
Decatur, IL 62526
Phone (217) 876-2400
241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220
520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300
1100 Wescott Dr
Ste G4
Flemington, NJ 08822
Phone (908) 788-6471
3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125
1100 Wescott Dr
Ste G3
Flemington, NJ 08822
Phone (908) 788-1710
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643
Interoperability endpoints
- amahmood270490@direct.ahsys.org
- ali.mahmood.p2@direct.hvvmg.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Internal Medicine
-
- Phlebology Physician
- Clinton, NJ
- NPI 1053334276
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Flemington, NJ
- NPI 1841560158
-
- Internal Medicine Physician
- Oak Park, IL
- NPI 1518260165
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Multi-Specialty Clinic/Center
- Decatur, IL
- NPI 1477276301
-
- Nephrology Physician
- Flemington, NJ
- NPI 1396561577
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1275578064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1780022905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT STREET",
"address_2": "2ND FL",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 MAIN STREET",
"address_2": "2ND FL SUITE A",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071112",
"telephone_number": "413-794-2273",
"fax_number": "413-794-0198"
}
],
"practiceLocations": [
{
"address_1": "2300 N Edward St Ste 2350",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625264192",
"country_code": "US",
"telephone_number": "217-876-2400",
"fax_number": "217-876-2405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHMOOD",
"first_name": "ALI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-10",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036141465",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "281462",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "100615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100236593",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.