Individual provider Active NPI

Ammar Obaid Mahmood, MD

  • Plastic and Reconstructive Surgery Physician
  • Memphis, TN
National Provider Identifier
1972166429
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
2086S0122X Issued in TN
Practice address
910 Madison Ave Ste 447
Memphis, TN 38103-3403
Phone
(901) 448-5364
Fax
(901) 448-7306
NPI assigned
Apr 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 2086S0122X TN Primary

Addresses

Primary practice location

910 Madison Ave Ste 447
Memphis, TN 38103-3403

Mailing address

151 Sumner Ave Apt 4
Springfield, MA 01108-2334
Phone (413) 391-6288

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL esauve@uthsc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230821003021 SC Practitioner - General Surgery 5799147807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

800 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1330

Hospital & facility affiliations

  • Neighbors Care Home Health Agency, an Amedisys Co Home health agency, Chester, SC, CCN 427063
  • Musc Health Lancaster Medical Center Hospital, Lancaster, SC, CCN 420036

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2086S0122XTNMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Jan 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jan 1, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Aug 1, 2023 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Aug 1, 2023 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

820 W Meeting St
Lancaster, SC 29720
Phone (803) 285-5441

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

Interoperability endpoints

  • Direct secure messaging: amahmood360906@direct.musc.edu

Organizations & group practices 6

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1972166429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SUMNER AVE APT 4",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082334",
            "telephone_number": "413-391-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MADISON AVE STE 447",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033403",
            "telephone_number": "901-448-5364",
            "fax_number": "901-448-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "AMMAR",
        "middle_name": "OBAID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "2086S0122X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "esauve@uthsc.edu",
            "affiliation": "N",
            "endpointDescription": "esauve@uthsc.edu",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "esauve@uthsc.edu",
            "address_1": "910 Madison Ave Ste 447",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381033403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.