Individual provider Active NPI

Syed Hazique Mahmood, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hershey, PA
National Provider Identifier
1811245822
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD480449 Issued in PA
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

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110120169AMedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230403002427 PA Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 8820373764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
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
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

8012 Bretz Dr
Harrisburg, PA 17112-9748
Phone (717) 988-9340

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Upmc Lititz Hospital, Lititz, PA, CCN 390068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD480449PAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 20, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 20, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.