Individual provider Active NPI

Max Mahboub Musharoff, MD

  • Ophthalmology Physician
  • Mountain BRK, AL
National Provider Identifier
1992268296
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.41174 Issued in AL
Practice address
3928 Montclair Rd Ste 100
Mountain BRK, AL 35213-2415
Phone
(205) 592-3911
Fax
(205) 831-8370
NPI assigned
Apr 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD.41174 AL Primary

Addresses

Primary practice location

3928 Montclair Rd Ste 100
Mountain BRK, AL 35213-2415

Mailing address

3928 Montclair Rd Ste 100
Mountain BRK, AL 35213-2415
Phone (205) 592-3911

Other practice location 1

1406 McFarland Blvd N Ste 1B
Tuscaloosa, AL 35406-2294
Phone (205) 556-2121

Other practice location 2

535 Jack Warner Pkwy NE Ste B1
Tuscaloosa, AL 35404-5715
Phone (205) 556-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230901001707 AL Practitioner - Ophthalmology 0648601989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuscaloosa Ophthalmology IncGroup PAC ID 4981627676, 5 clinicians

Practice addresses (Care Compare)

535 Jack Warner Pkwy NE
Tuscaloosa, AL 35404-5715
Phone (205) 556-2121

Merit-based Incentive Payment System (MIPS)

Final score
84.41 of 100Reported as group
Quality
93
Improvement activities
40
Cost
57.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery419

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.41174ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Vision Center, LLC Ophthalmology CurrentSince Oct 15, 2023 Accepting new patients
Tuscaloosa Ophthalmology, Inc. Ophthalmology CurrentSince Mar 1, 2025 Accepting new patients

Locations

7191 Cahaba Valley Rd
Ste 203
Hoover, AL 35242
Phone (205) 236-9943

3928 Montclair Rd
Ste 100
Mountain Brk, AL 35213
Phone (205) 871-1713

535 Jack Warner Pkwy NE
Ste B1
Tuscaloosa, AL 35404
Phone (205) 556-2121

1406 McFarland Blvd N
Ste 1B
Tuscaloosa, AL 35406
Phone (205) 556-2121

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1992268296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 MONTCLAIR RD STE 100",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132415",
            "telephone_number": "205-592-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 MONTCLAIR RD STE 100",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132415",
            "telephone_number": "205-592-3911",
            "fax_number": "205-831-8370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 McFarland Blvd N Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354062294",
            "country_code": "US",
            "telephone_number": "205-556-2121",
            "fax_number": "205-831-8370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Jack Warner Pkwy NE Ste B1",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354045715",
            "country_code": "US",
            "telephone_number": "205-556-2121",
            "fax_number": "205-831-8370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSHAROFF",
        "first_name": "MAX",
        "middle_name": "MAHBOUB",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD.41174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.