Organization Active NPI

Riffat S Mahmud MD PC

  • Internal Medicine Physician
  • Shrewsbury, PA
National Provider Identifier
1881707164
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD053502L Issued in PA
Legal business name
RIFFAT S MAHMUD MD PC
Doing business as
SHREWSBURY PRIMARY CARE MEDICINE
Practice address
73 E Forrest Ave Ste 314
Shrewsbury, PA 17361-1400
Phone
(717) 235-1795
Fax
(717) 428-3417
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Riffat S Mahmud, M.D.NPI 1780787028
Title
President
Phone
(717) 741-5959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD053502L PA Primary

Addresses

Primary practice location

73 E Forrest Ave Ste 314
Shrewsbury, PA 17361-1400

Mailing address

73 E Forrest Ave Ste 314
Shrewsbury, PA 17361-1400
Phone (717) 235-1795

Other identifiers 1

IdentifierTypeStateIssuer
0014862170003MedicaidPA

Other names 1

  • SHREWSBURY PRIMARY CARE MEDICINE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060828000062 PA Part B Supplier - Clinic/Group Practice 9234133661 Receives reassigned benefits from 1 practitioner
Practice locations: York, PA

National Provider Directory

National Provider Directory

Locations

73 E Forrest Ave
Ste 314
Shrewsbury, PA 17361
Phone (717) 235-1795

118 Pleasant Acres Rd
York, PA 17402
Phone (717) 840-7100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1881707164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 E FORREST AVE STE 314",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611400",
            "telephone_number": "717-235-1795",
            "fax_number": "717-428-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 E FORREST AVE STE 314",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611400",
            "telephone_number": "717-235-1795",
            "fax_number": "717-428-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIFFAT S MAHMUD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "MAHMUD",
        "authorized_official_first_name": "RIFFAT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-741-5959",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD053502L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014862170003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHREWSBURY PRIMARY CARE MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shrewsbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.