Individual provider Active NPI

Mohamed Mahmoud Sabour, DO

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1942760368
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
314012 Issued in NY
Practice address
2175 Westchester Ave
Bronx, NY 10462-4734
Phone
(718) 829-6770
NPI assigned
Mar 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS021008 PA
Family Medicine Physician 207Q00000X 314012 NY Primary

Addresses

Primary practice location

2175 Westchester Ave
Bronx, NY 10462-4734

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Other practice location 1

400 E Germantown Pike
East Norriton, PA 19401-6506
Phone (610) 994-0063

Other practice location 2

2701 Dekalb Pike
Norristown, PA 19401-1820
Phone (610) 275-7240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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
I20210426001584 PA Practitioner - Family Practice 6305171976 Reassigns benefits to 1 organization
I20221128001142 NY Practitioner - Family Practice 6305171976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Aug 16, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Aug 16, 2022 Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine CurrentSince Mar 10, 2021 Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine CurrentSince Mar 10, 2021 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

2175 Westchester Ave
Bronx, NY 10462
Phone (718) 829-6770

100 Corporate Dr
#100
Yonkers, NY 10701

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

400 E Germantown Pike
Norristown, PA 19401
Phone (610) 994-0063

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: msabour@montefioredirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1942760368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624734",
            "telephone_number": "718-829-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Germantown Pike",
            "address_purpose": "LOCATION",
            "city": "East Norriton",
            "state": "PA",
            "postal_code": "194016506",
            "country_code": "US",
            "telephone_number": "610-994-0063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Dekalb Pike",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194011820",
            "country_code": "US",
            "telephone_number": "610-275-7240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABOUR",
        "first_name": "MOHAMED",
        "middle_name": "MAHMOUD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS021008",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "314012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.