Individual provider Active NPI

Mansoor Mehmood, M.D.

  • Internal Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1942430707
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T6644 Issued in TX
Practice address
850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone
(205) 348-1770
Fax
(205) 348-1772
NPI assigned
Jul 15, 2009
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD36154 AL
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X T6644 TX Primary

Addresses

Primary practice location

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457

Mailing address

5917 88TH PL
Lubbock, TX 79424-3652
Phone (205) 348-1770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180110001127 AL Practitioner - Internal Medicine 7618275850 Reassigns benefits to 2 organizations
I20230803003014 TX Practitioner - Internal Medicine 7618275850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Texas PAGroup PAC ID 8628076924, 113 clinicians

Practice addresses (Care Compare)

12221 N Mopac Expy
St. David's North Austin Medical Ce
Austin, TX 78758-2401
Phone (512) 901-1000

919 E 32ND St
St. David's Medical Center
Austin, TX 78705-2703
Phone (512) 544-7111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD36154ALMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services Inc CurrentSince Nov 12, 2017 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Oct 1, 2017 Accepting new patients
Whatley Health Services, Inc. CurrentSince Nov 12, 2017 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Oct 1, 2017 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Aug 10, 2025 Accepting new patients

Locations

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1942430707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 88TH PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243652",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PETER BRYCE BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017457",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHMOOD",
        "first_name": "MANSOOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "MD36154",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T6644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.