Active NPI
Syed Hazique Mahmood, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Hershey, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- MD480449
- Practice address
- 121 Towne Square Dr Ste 301
Hershey, PA 17033-9440 - Phone
- (717) 988-8320
- Fax
- (717) 221-5397
- NPI assigned
- Aug 22, 2012
- 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 |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 269308 | MA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | MD480449 | PA | Primary |
Addresses
Primary practice location
121 Towne Square Dr Ste 301
Hershey, PA 17033-9440
Mailing address
121 Towne Square Dr Ste 301
Hershey, PA 17033-9440
Phone (717) 988-8320
Other practice location 1
1 Brookline Place
Arnold Warfield Pain Center
Brookline, MA 02445-1200
Phone (617) 278-8000
Other practice location 2
8012 Bretz Dr
Harrisburg, PA 17112-9748
Phone (717) 988-9340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110120169A | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smahmood241091@phsdirect.pinnaclehealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Pain Management
- Education
- University of Missouri, Kansas City, School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8012 Bretz Dr
Harrisburg, PA 17112-9748
Phone (717) 988-9340
Hospital & facility affiliations
- Upmc Pinnacle Hospitals
- Upmc Lititz
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD480449 | PA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Past | Accepting new patients |
Locations
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
121 Towne Square Dr
Ste 301
Hershey, PA 17033
Phone (717) 988-8148
1555 Highlands Dr
Ste 190
Lititz, PA 17543
Phone (717) 291-8345
8012 Bretz Dr
West Hanover, PA 17112
Phone (717) 231-8320
Interoperability endpoints
- smahmood295130@upmc.direct-ci.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Pediatric Infectious Diseases Physician
- Lemoyne, PA
- NPI 1114535002
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Endocrinology, Diabetes & Metabolism Physician
- Mechanicsburg, PA
- NPI 1518918523
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lititz, PA
- NPI 1285167916
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1811245822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 TOWNE SQUARE DR STE 301",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170339440",
"telephone_number": "717-988-8320",
"fax_number": "717-221-5397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 TOWNE SQUARE DR STE 301",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170339440",
"telephone_number": "717-988-8320",
"fax_number": "717-221-5397"
}
],
"practiceLocations": [
{
"address_1": "1 Brookline Place",
"address_2": "Arnold Warfield Pain Center",
"address_purpose": "LOCATION",
"city": "Brookline",
"state": "MA",
"postal_code": "024451200",
"country_code": "US",
"telephone_number": "617-278-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8012 Bretz Dr",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171129748",
"country_code": "US",
"telephone_number": "717-988-9340",
"fax_number": "717-231-8656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHMOOD",
"first_name": "SYED",
"middle_name": "HAZIQUE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-22",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MA",
"license": "269308",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "PA",
"license": "MD480449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110120169A",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smahmood241091@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "8012 Bretz Dr",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171129748",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.