Mahmoud Qasem Moammar, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

C170981 Issued in CA

Practice address

845 W la Veta Ave Ste 108
Orange, CA 92868-3930

Phone

(714) 289-6552

NPI assigned

Jul 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY, CA, WA, VA4 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 4

Specialty

Critical Care (Intensivists)Also: Pulmonary Disease

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Nurture Health Group IncGroup PAC ID 5597295816, 2 clinicians

Kentuckyone Health Medical Group IncGroup PAC ID 8820993702, 260 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prudence Home Health Care Inc Home health agency, North Hollywood, CA, CCN 559458
• Unicorn Home Health, Inc Home health agency, Glendale, CA, CCN 559595
• Top Rated Home Health, Inc Home health agency, Glendale, CA, CCN 757234
• Wish U Well Home Healthcare Home health agency, Tujunga, CA, CCN 553156
• Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069
• Tri-State Memorial Hospital Hospital, Clarkston, WA, CCN 501332
• Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmoammar308124@direct.stlukeshealth.org
• Direct secure messaging: mahmoudmoammar@kysjhspe.allscriptsdirect.net

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.

• Nurture Health Group Inc

  • Internal Medicine Physician
  • North Hollywood, CA
  • NPI 1265248967

  CA

  Medicare reassignment Care Compare group
• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762

  CA

  Medicare reassignment Care Compare group
• Kentuckyone Health Medical Group, Inc.

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1104875970

  KY

  Medicare reassignment Care Compare group
• El-Bershawi Medical Corp

  • Critical Care Medicine (Internal Medicine) Physician
  • Riverside, CA
  • NPI 1386813103

  CA, Pulmonary Disease

  Medicare reassignment NPD
• Openloop Healthcare Partners California PC

  • General Practice Physician
  • Palm Desert, CA
  • NPI 1659042331

  CA

  Medicare reassignment NPD
• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457

  VA

  Medicare reassignment NPD
• Stem Medical Group, PC

  • Neurological Surgery Physician
  • Denver, CO
  • NPI 1508592361

  CA

  Medicare reassignment NPD
• Summit Medical Group, Inc

  • Family Medicine Physician
  • Erlanger, KY
  • NPI 1750343216

  KY

  Medicare reassignment NPD
• Tri-State Memorial Hospital

  • Critical Access Hospital
  • Clarkston, WA
  • NPI 1598814352

  WA

  Medicare reassignment NPD
• Tri-State Memorial Hospital

  • Critical Access Hospital
  • Clarkston, WA
  • NPI 1760485221

  WA

  Medicare reassignment NPD
• MQM Medical Group Inc

  • Internal Medicine Physician
  • N Hollywood, CA
  • NPI 1174252951
  NPD
• Openloop Healthcare Partners California PC

  • Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
  • NPI 1598418063
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prudence Home Health Care Inc.

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1760047898
  Care Compare affiliation
• St Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216

  Hospital

  Care Compare affiliation
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279

  Hospital

  Care Compare affiliation
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Brea, CA
  • NPI 1891904942

  Hospital

  Care Compare affiliation
• St. Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1558575746

  Hospital

  Care Compare affiliation
• Top Rated Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1356826655
  Care Compare affiliation
• Unicorn Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1710336045
  Care Compare affiliation
• Wish U Well Home Healthcare

  • Home Health Agency
  • Tujunga, CA
  • NPI 1346794872
  Care Compare affiliation
• Tri-State Memorial Hospital

  • Critical Access Hospital
  • Clarkston, WA
  • NPI 1760485221

  Hospital

  Care Compare affiliation
• Tri-State Memorial Hospital

  • Family Medicine Physician
  • Clarkston, WA
  • NPI 1932405693

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1952500696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 W LA VETA AVE STE 108",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683930",
            "telephone_number": "714-289-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W LA VETA AVE STE 108",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683930",
            "telephone_number": "714-289-6552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605000",
            "country_code": "US",
            "telephone_number": "804-828-4635",
            "fax_number": "804-443-6150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 E Clay St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985071",
            "country_code": "US",
            "telephone_number": "804-828-9071",
            "fax_number": "804-828-2581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Village Dr",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410173403",
            "country_code": "US",
            "telephone_number": "859-757-2927",
            "fax_number": "859-341-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOAMMAR",
        "first_name": "MAHMOUD",
        "middle_name": "QASEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "42606",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101274234",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C170981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "moammar.mahmoud.p1@direct.pacificpulm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "4234 Riverwalk Pkwy Ste 230",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamie Hisa Mizuhara, MA OTR-L
• Haik Mkhikian, MD
• Laura Mlynar
• Lilit Mnatsakanyan, MD
• Jim Moakley, M.S.
• Mobilitydme Plus Inc
• Rebecca Mock
• Houchang D Modanlou, MD
• Saba Lily Modaressi
• Allison Modesette

• All providers in Orange, CA
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.

Verify at the official NPI Registry.