Active NPI
Tariq Mahmood, M.D.
- Medical Oncology Physician
- Midwest City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 35C.000982
- Practice address
- 2828 N Glenhaven Dr
Midwest City, OK 73110-4002 - Phone
- (405) 732-4893
- Fax
- (405) 741-7820
- NPI assigned
- Apr 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 17627 | OK | |
| Medical Oncology Physician | 207RX0202X | 35C.000982 | OH | Primary |
Addresses
Primary practice location
2828 N Glenhaven Dr
Midwest City, OK 73110-4002
Mailing address
2828 N Glenhaven Dr
Midwest City, OK 73110-4002
Phone (405) 732-4893
Other practice location 1
8423 Market St
Boardman, OH 44512-6778
Phone (330) 965-5400
Other practice location 2
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-8015
Other practice location 3
667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-4177
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100021640A | Medicaid | OK | |
| 0034548 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081114000316 | OK | Practitioner - Hematology/Oncology | 3577623958 |
Reassigns benefits to 3 organizations Practice locations: Midwest City, OK; Norman, OK |
| I20251002000196 | NM | Practitioner - Hematology/Oncology | 3577623958 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15951 Little Axe Dr
Norman, OK 73026-9088
Phone (405) 447-0300
2530 S Telshor Blvd
Suite 201
Las Cruces, NM 88011-4907
Phone (575) 521-5277
2530 S Telshor Blvd
Suite 207
Las Cruces, NM 88011-4975
Phone (575) 556-1892
430 N Monte Vista St
Ada, OK 74820-4610
Phone (580) 332-2323
Hospital & facility affiliations
- Mercy Hospital Ada
- Memorial Medical Center
- Norman Regional
- SSM Health St Anthony Hospital - Midwest
- Chickasaw Nation Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absentee Shawnee Tribal Health Authority, Inc. | Current | Accepting new patients | |
| PHC-Las Cruces Inc | Current | Accepting new patients | |
| PHC Las Cruces Inc | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| PHC Las Cruces | Hematology & Oncology | Current | Accepting new patients |
| Mercy Hospital Ada, Inc | Past | Accepting new patients | |
| Rick McKinney DO PC | Hematology & Oncology | Past | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
2530 S Telshor Blvd
Ste 201
Las Cruces, NM 88011
Phone (505) 521-1554
2530 S Telshor Blvd
Ste 207
Las Cruces, NM 88011
Phone (575) 522-6806
2450 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-5800
4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
8423 Market St
Youngstown, OH 44512
Phone (330) 793-7966
430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251
15951 Little Axe Dr
Norman, OK 73026
Phone (405) 447-0300
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
2029 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 878-4702
Interoperability endpoints
- tmahmood37149@direct-ehr-ssmhc.com
- mahmoodt@yourcarecommunity.org
- https://fhir4.healow.com/fhir/r4/DHJFBA/Endpoint/DHJFBA
Organizations & group practices 11
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.
-
- Multi-Specialty Clinic/Center
- Shawnee, OK
- NPI 1942253521
OK
-
- Cardiovascular Disease Physician
- Las Cruces, NM
- NPI 1346586195
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
-
- Infectious Disease Physician
- Las Cruces, NM
- NPI 1942581202
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Ada, OK
- NPI 1952643306
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Primary Care Clinic/Center
- Tishomingo, OK
- NPI 1649330242
Hospital
-
- Primary Care Clinic/Center
- Ada, OK
- NPI 1962563148
Hospital
-
- General Acute Care Hospital
- Midwest City, OK
- NPI 1700471497
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1992761589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 N GLENHAVEN DR",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104002",
"telephone_number": "405-732-4893",
"fax_number": "405-741-7820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 N GLENHAVEN DR",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104002",
"telephone_number": "405-732-4893",
"fax_number": "405-741-7820"
}
],
"practiceLocations": [
{
"address_1": "8423 Market St",
"address_purpose": "LOCATION",
"city": "Boardman",
"state": "OH",
"postal_code": "445126778",
"country_code": "US",
"telephone_number": "330-965-5400",
"fax_number": "330-965-5431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1044 Belmont Ave",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445041006",
"country_code": "US",
"telephone_number": "330-480-8015",
"fax_number": "330-480-8049",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "667 Eastland Ave SE",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "OH",
"postal_code": "444844503",
"country_code": "US",
"telephone_number": "330-841-4177",
"fax_number": "330-841-4598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHMOOD",
"first_name": "TARIQ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-24",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OK",
"license": "17627",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "OH",
"license": "35C.000982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100021640A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0034548",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.