Dr. Mushtaq Mahmood
Dr. Mushtaq Mahmood · Internal Medicine (Adolescent Medicine)

Address: 10325 Dewhurst Rd, Ohio Medical Group, Elyria, OH 44035-8403
Phone: 4404149260

Dr. Mushtaq Mahmood (NPI# 1497733075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1497733075
Entity Type Individual
Full Name Dr. Mushtaq Mahmood
Other Name Dr. Mushtaq Mahmood
Credential MD.
Gender Male
Practice Address 10325 Dewhurst Rd
Ohio Medical Group
OH 44035-8403
Practice Telephone 4404149260
Mailing Address 10325 Dewhurst Rd
OH 44035-8403
Mailing Telephone 4404203335
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-01-04
Last Update Date 2019-04-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RA0000X Internal Medicine · Adolescent Medicine Allopathic & Osteopathic Physicians 57.016032 OH

Other Provider Identifier

State Identifier Issuer Type Code

Physician Overview

NPI 1497733075
PAC ID by PECOS 9032130554
Professional Enrollment ID I20120820001195
Full Name Mushtaq Mahmood
Phone Number 4409604000
Gender M
Credential PA
Graduation Year 1993
Secondary Specialties HOSPITALIST
Group Practice PAC ID 5496648123
Number of Group Practice Members 82
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_47_1 Advance Care Plan 1%

Office Location

Street Address 10325 DEWHURST RD
State OH
Zip Code 44035-8403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003802141 Timothy Plank Family Medicine 10325 Dewhurst Rd, Elyria, OH 44035 2005-09-23
1841715737 Carrie Louise Ortiz Nurse Practitioner 10325 Dewhurst Rd, Elyria, OH 44035-8403 2017-08-11
1043614704 William J Scott Dpm Inc Podiatrist 10325 Dewhurst Rd, Elyria, OH 44035-8403 2014-10-09
1356776975 Jeanine R Willis Nurse Practitioner 10325 Dewhurst Rd, Elyria, OH 44035-8403 2013-09-13
1669695516 William J Scott Podiatrist 10325 Dewhurst Rd, Elyria, OH 44035-8403 2007-04-10
1831138601 Matthew S Schaeffer Family Medicine 10325 Dewhurst Rd, Elyria, OH 44035-8403 2006-06-06
1356315949 Diane Huey Internal Medicine 10325 Dewhurst Rd, Elyria, OH 44035-8403 2006-02-13
1154391647 Kamaleswary Ravichandran Internal Medicine 10325 Dewhurst Rd, Elyria, OH 44035-8403 2006-01-25
1831169333 Deborah Anne Vicario Family Medicine 10325 Dewhurst Rd, Elyria, OH 44035-8403 2006-01-25
1639149131 Abdelkarim Waness Internal Medicine 10325 Dewhurst Rd, Elyria, OH 44035-8403 2006-01-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821656380 Amber Mahone Case Manager/Care Coordinator 342 Midway Blvd Ste 210, Elyria, OH 44035 2019-05-30
1548788151 Robin Lee Newhart Physical Therapist 1885 Lake Avenue, Elyria, OH 44035 2017-09-03
1174073688 Kimberly Duncan Social Worker 4615 Oakhill Blvd, Condo #205, Lorain, OH 44035 2016-10-07
1679027585 Signature Smiles Dr. Salameh, LLC Dentist 570 Chestnut Commons Dr., Elyria, OH 44035 2016-08-09
1124438791 Ann Pecsok Physical Therapist 42101 Griswold Rd., Elyria, OH 44035 2014-05-05
1346589066 Catherine M Hollan Licensed Practical Nurse 39020 Chestnut Ridge Road, Elyria, OH 44035 2013-02-01
1639413453 Elyria Mediclinic Clinic/Center 156 Cleveland Street, Elyria, OH 44035 2012-11-16
1194078717 Douglas Joseph Sherlock Student in an Organized Health Care Education/Training Program 125 E Broad Street, Ste 218, Elyria, OH 44035 2012-10-19
1881956670 Supriya Marie Mahajan Psychiatry & Neurology 673 East River Street, Elyria, OH 44035 2012-06-08
1790043222 Patricia J Cathcart Nurse Practitioner 10325 Dewhurst, Elyria, OH 44035 2012-05-03
Find all providers in zip 44035

Taxonomy Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Adolescent Medicine

Taxonomy Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629253323 Virgie U Que Internal Medicine 1790 N Lakewood Ave, Port Clinton, OH 43452-2971 2008-01-01
1134328537 William Hanna Internal Medicine 4326 Baintree Rd, Cleveland, OH 44118-3931 2007-07-16
1801919816 Agarwal & Agarwal Mds Inc Internal Medicine 7405 Brandt Pk, Huber Heights, OH 45424-3239 2007-04-06
1740217009 Anthony J Finizia Internal Medicine 5208 Memphis Ave, Metrohealth Brooklyn Medical Group, Cleveland, OH 44144-2231 2006-06-26
1063476497 Cynthia H Ledford Internal Medicine 1609 Northwest Blvd, Columbus, OH 43212-2544 2006-04-13
1770570764 Nirmala Nandigam Internal Medicine 4901 Turney Rd, Garfield Hts, OH 44125-2546 2005-10-04
1326049081 Betsy L Kendis Internal Medicine 4575 Stephens Cir Nw, Canton, OH 44718-3629 2005-08-03
1134127954 Rajendra A Patel Internal Medicine 382 N Detroit St, Xenia, OH 45385-2233 2005-07-14
1619974037 John C Westerbeck Internal Medicine 2037 Wales Rd Nw, Suite 130, Massillon, OH 44646 2005-06-30
1174755953 Faisal R Khan Internal Medicine 1025 Center St, Ashland, OH 44805-4011 2009-08-12
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Zip Code 44035

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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