Active NPI
Mirza Abdurrahman Mahmood, M.D.
- Family Medicine Physician
- West Plains, MO
National Provider Identifier
1942653795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2019024559
- Practice address
- 1100 N Kentucky Ave
West Plains, MO 65775 - Phone
- (417) 257-5800
- Fax
- (417) 257-5999
- NPI assigned
- Jul 18, 2016
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2019024559 | MO | Primary |
| Hospitalist Physician | 208M00000X | 2019024559 | MO |
Addresses
Primary practice location
1100 N Kentucky Ave
West Plains, MO 65775
Mailing address
PO Box 1100
West Plains, MO 65775-1100
Phone (417) 257-5800
Other practice location 1
102 W Kenwood Ave
Suite 100
Decatur, IL 62526-4368
Phone (217) 872-3800
Other practice location 2
1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 705-1272 ext. 314
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Bolivar, MO 65613
Phone (417) 328-6631
1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone (417) 257-6789
1500 N Oakland Ave
CMH Diabetes
Bolivar, MO 65613-3099
Phone (417) 328-6040
Hospital & facility affiliations
- Ozarks Healthcare
- Citizens Memorial Hospital
- Cox Medical Centers
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 78.58
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019024559 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Current | Accepting new patients | |
| Citizens Memorial Healthcare | Family Medicine | Current | Accepting new patients |
| Ies HSP Missouri LLC | Hospitalist | Current | Accepting new patients |
| Mercy Southern Missouri Ambulatory Services LLC | Current | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Current | Accepting new patients |
| Citizens Memorial Healthcare | Current | Accepting new patients | |
| Citizens Memorial Hospital District | Past | Accepting new patients | |
| Lincoln County Hospital | Past | Accepting new patients |
Locations
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
2150 W Republic Rd
Ste 112
Springfield, MO 65807
Phone (417) 986-1291
1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959
Interoperability endpoints
- dr.mahmood@mhccaremail.com
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.
-
- Hospitalist Physician
- West Plains, MO
- NPI 1962102871
-
- Urgent Care Clinic/Center
- Springfield, MO
- NPI 1871094052
-
- Rural Health Clinic/Center
- Willard, MO
- NPI 1568127397
-
- Psychiatric Hospital Unit
- West Plains, MO
- NPI 1235929027
-
- General Acute Care Hospital
- Bolivar, MO
- NPI 1003981549
-
- Critical Access Hospital
- Lincoln, KS
- NPI 1942265327
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivar, MO
- NPI 1003981549
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1942653795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1100",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657751100",
"telephone_number": "417-257-5800",
"fax_number": "417-257-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N KENTUCKY AVE",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "65775",
"telephone_number": "417-257-5800",
"fax_number": "417-257-5999"
}
],
"practiceLocations": [
{
"address_1": "102 W Kenwood Ave",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625264368",
"country_code": "US",
"telephone_number": "217-872-3800",
"fax_number": "217-872-0849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 W Liberty St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "MO",
"postal_code": "636401921",
"country_code": "US",
"telephone_number": "573-705-1272 x314",
"fax_number": "573-705-1216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHMOOD",
"first_name": "MIRZA",
"middle_name": "ABDURRAHMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-18",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2019024559",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2019024559",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1101 W Liberty St",
"city": "Farmington",
"state": "MO",
"country_code": "US",
"postal_code": "636401921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.