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MOHAMAD MAHFOUZ
NPI 1043007743
Student in an Organized Health Care Education/Training Program in Independence, MO

Active since April 24, 2025PECOS Enrolled
19600 EAST 39TH ST SOUTH, INDEPENDENCE, MO 64057(816) 698-7000 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mohamad Mahfouz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMAD MAHFOUZ (NPI 1043007743) is an individual student in an organized health care education/training program in Independence, Missouri and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043007743
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOHAMAD MAHFOUZ
Location Address19600 EAST 39TH ST SOUTHIndependence, MO 64057
Mailing Address19600 East 39th St SouthIndependence, MO 64057 · (816) 698-7000
Phone(816) 698-7000
Sole ProprietorNo
Enumeration DateApril 24, 2025
Last NPPES UpdateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
✔ NPI 1043007743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
19600 EAST 39TH ST SOUTH, Independence, MO 64057
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohamad Mahfouz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohamad Mahfouz's NPI number?

The NPI number for Mohamad Mahfouz is 1043007743. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Mohamad Mahfouz located?

Mohamad Mahfouz practices at 19600 East 39th St South, Independence, MO 64057. The listed phone number is (816) 698-7000.

What is Mohamad Mahfouz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mohamad Mahfouz enrolled in Medicare?

Yes. Mohamad Mahfouz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohamad Mahfouz was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.