Individual provider Active NPI

Ali Mahmood, M.D.

  • Cardiovascular Disease Physician
  • Springfield, MA
National Provider Identifier
1780022905
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
100615 Issued in WI
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

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100236593MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NJ, WI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20171212000484 IL Practitioner - Hospitalist 1052607892 Reassigns benefits to 1 organization
I20211015001590 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052607892
I20220419000057 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052607892 Reassigns benefits to 2 organizations
I20231016002875 WI Practitioner - Cardiovascular Disease (Cardiology) 1052607892 Reassigns benefits to 1 organization

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
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

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

LicenseStateTypeSpecialty
100615WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. Internal Medicine CurrentSince Jul 31, 2023 Accepting new patients
Hunterdon Medical Center Cardiovascular Disease CurrentSince Mar 7, 2022 Accepting new patients
Decatur Memorial Hospital CurrentSince Sep 27, 2021 Accepting new patients
Hunterdon Cardiovascular Associates Cardiovascular Disease CurrentSince Sep 7, 2022 Accepting new patients
Rush Oak Park Nocturnist Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 31, 2023 Accepting new patients
Decatur Memorial Hospital Internal Medicine CurrentSince Sep 27, 2021 Accepting new patients
Hunterdon Medical Center CurrentSince Mar 7, 2022 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

  • Direct secure messaging: amahmood270490@direct.ahsys.org
  • Direct secure messaging: ali.mahmood.p2@direct.hvvmg.nextgenshare.com
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.