Individual provider Active NPI

Mahmoud Elshawwaf

  • Internal Medicine Physician
  • Oxford, MS
National Provider Identifier
1982286324
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34020 Issued in MS
Practice address
1100 Belk Blvd
Oxford, MS 38655-5242
Phone
(662) 636-3354
NPI assigned
Apr 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 34020 MS Primary

Addresses

Primary practice location

1100 Belk Blvd
Oxford, MS 38655-5242

Mailing address

7901 Cambridge St Apt 144
Houston, TX 77054-3038
Phone (832) 206-6580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20241106003560 MS Practitioner - Internal Medicine 5193116465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Hospitalists of Ms, LLCGroup PAC ID 6709101322, 37 clinicians

Practice addresses (Care Compare)

54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (601) 443-2100

Hospital & facility affiliations

  • Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034
  • Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006
  • University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168

Merit-based Incentive Payment System (MIPS)

Final score
82.53 of 100Reported as group
Quality
69.43
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34020MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalists of Ms, LLC Current Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Oct 15, 2024 Accepting new patients
Comprehensive Hospitalists of Ms, LLC Internal Medicine CurrentSince Oct 15, 2024 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

Interoperability endpoints

  • Direct secure messaging: melshawwaf639930@direct.bmhcc.org

Organizations & group practices 4

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 4

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": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1982286324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 CAMBRIDGE ST APT 144",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543038",
            "telephone_number": "832-206-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555242",
            "telephone_number": "662-636-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHAWWAF",
        "first_name": "MAHMOUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "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": "MS",
            "license": "34020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.