NPIMap

Individual provider Active NPI

Akram H Mahmoud, DO

  • Neurological Surgery Physician
  • Ithaca, NY
National Provider Identifier
1982694642
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
305839 Issued in NY
Practice address
905 Hanshaw Rd Ste a
Ithaca, NY 14850-1549
Phone
(607) 269-0033
Fax
(607) 269-0037
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2018-00346 NC
Neurological Surgery Physician 207T00000X 63470-21 WI
Neurological Surgery Physician 207T00000X 305839 NY Primary

Addresses

Primary practice location

905 Hanshaw Rd Ste a
Ithaca, NY 14850-1549

Mailing address

905 Hanshaw Rd Ste a
Ithaca, NY 14850-1549
Phone (607) 269-0033

Other practice location 1

5320 W Michaels Dr
Appleton, WI 54913-8446
Phone (920) 882-8200

Other practice location 2

1985 Tate Blvd SE Ste 600
Hickory, NC 28602-1433
Phone (828) 826-8075

Other identifiers 1

IdentifierTypeStateIssuer
2380570MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200827001233 NY Practitioner - Neurosurgery 0547324824 Reassigns benefits to 1 organization
I20211203001224 TX Practitioner - Neurosurgery 0547324824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

1755 Curie Dr
Suite C
El Paso, TX 79902-2920
Phone (915) 533-7465

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion30
Laminectomy or laminotomy (partial removal of spine bones)17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-00346NCMDNeurological Surgery Physician
305839NYMDNeurological Surgery Physician
63470-21WIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Memorial Medical Services, PC CurrentSince Sep 7, 2020 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Sep 7, 2020 Accepting new patients
BHS Physicians Network, Inc CurrentSince Nov 30, 2021 Accepting new patients
BHS Physicians Network, Inc CurrentSince Nov 30, 2021 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

1755 Curie Dr
Ste C
El Paso, TX 79902
Phone (915) 577-7951

3270 Joe Battle Blvd
Ste 120
El Paso, TX 79938
Phone (915) 351-0699

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: akram.mahmoud.1@1438.direct.athenahealth.com

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 6

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1982694642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HANSHAW RD STE A",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501549",
            "telephone_number": "607-269-0033",
            "fax_number": "607-269-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HANSHAW RD STE A",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501549",
            "telephone_number": "607-269-0033",
            "fax_number": "607-269-0037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5320 W Michaels Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549138446",
            "country_code": "US",
            "telephone_number": "920-882-8200",
            "fax_number": "920-882-8210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1985 Tate Blvd SE Ste 600",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286021433",
            "country_code": "US",
            "telephone_number": "828-826-8075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "AKRAM",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "2018-00346",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WI",
            "license": "63470-21",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "305839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2380570",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.