DR. MUSTAFA MOHAMED MAHMOOD M.D.
NPI 1083076731
Student in an Organized Health Care Education/Training Program in Portland, OR

NPI Status: Active since March 22, 2016

Contact Information

3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR
ZIP 97239
Phone: (503) 494-8211

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  • Individual
  • Male
  • Years of Experience 10
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MUSTAFA MAHMOOD

This page provides the complete NPI Profile along with additional information for Mustafa Mahmood, a primary care provider established in Portland, Oregon with a medical specialization in Student In An Organized Health Care Education/training Program and more than 10 years of experience. He graduated from Oregon Health Sciences University School Of Medicine in 2016. The healthcare provider is registered in the NPI registry with number 1083076731 assigned on March 2016. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1083076731
Provider Name
DR. MUSTAFA MOHAMED MAHMOOD M.D.
Gender
Male
Entity Type
Individual
Location Address
3181 SW SAM JACKSON PARK RD # L-579 PORTLAND, OR 97239
Location Phone
(503) 494-8211
Mailing Address
3181 SW SAM JACKSON PARK RD # L-579 PORTLAND, OR 97239
Mailing Phone
(503) 494-8211
Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2016
Is Sole Proprietor?
No
Enumeration Date
03-22-2016
Last Update Date
03-22-2016
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A primary care provider (PCP) like Mustafa Mahmood sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • KP OR Bronze 6000 - EPO
  • KP OR Bronze HSA 7100 - EPO
  • KP OR Gold 0 - EPO
  • KP OR Gold 1750 - EPO
  • KP OR Silver 3000 - EPO
  • KP OR Silver 4000 - EPO
  • KP Oregon Standard Bronze Plan - EPO
  • KP Oregon Standard Gold Plan - EPO
  • KP Oregon Standard Silver Plan - EPO
  • KP OR Family Dental - $100 Ded - EPO
  • KP OR Family Dental - $1000 - EPO
  • KP OR Family Dental - $1000/$50 Ded - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Mustafa Mahmood is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Mustafa Mahmood is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2961780143

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20201110003245, I20240830001814

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. MUSTAFA MOHAMED MAHMOOD M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083076731
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20163071276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 0 + 7 + 1 + 2 + 7 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1083076731 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053706572DR. WILLIAM ANDREW FRIZZELL M.D.
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-8211
1639601776 STEPHEN BOWDEN M.D.
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-8311
1962906420DR. SRDJAN KAMENKO MD
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 713-7045
1689178766 ROSA JAIME CARBONELL MD
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-8211
1043715626 ARTHUR GEORGE AFFLECK IV MD
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(919) 599-2254
1861997447 ALEXIS KARI BAGWELL MD
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-8211
1144726167 XIAO-YUE HAN MD
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-9000
1316443070 RAMYA JAMIE PRASAD DO
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-8211
1144726357 THOMAS KARTIKA MD
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-8652
1467847681DR. JASON PATRICK MANNION M.D.
Individual
Internal Medicine3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-8211
1265994560 DEAN LIBET MD
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-8211
1992265367 GIANNA APRIL RAMOS MD
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-7344
1841753308 ROBERT MCRAE MD
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-8211
1861811564 JEFFREY DORLAND DAVIS MD
Individual
Anesthesiology3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-8652
1770110447DR. CATHERINE ELIZABETH TRAINA HUTCHISON MD
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(504) 494-8211
1932738085 KARINA MEHTA
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-7800
1134705130DR. PHILIP JAMES BLATT MD
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-8211
1871179812 DAKOTA JAMES LUNDSTROM MD
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(218) 750-0417
1043896467 LYNDSEY SANDOW MD
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-8311
1538745997DR. RAMEEZ M ZAMAN MD
Individual
Student in an Organized Health Care Education/Training Program3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
(503) 494-7641

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083076731, enumerated in the NPI registry as an "individual" on March 22, 2016

The provider is located at 3181 Sw Sam Jackson Park Rd # L-579 Portland, Or 97239 and the phone number is (503) 494-8211

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 10 years of experience. He graduated from Oregon Health Sciences University School Of Medicine in 2016.

The provider might be accepting Accepts: Kaiser Permanente. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on March 22, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.