RANA HAMID MAHMOOD MD
NPI 1043363211
Psychiatry & Neurology - Neurology in Decatur, IL

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
92.97/100
CMS Quality Rating
1750 E LAKE SHORE DR STE 310, DECATUR, IL 62521(217) 872-5943(217) 872-7665 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2023, Feb 1, 2019 (2 updates tracked since 2019).

About Rana Hamid Mahmood Md NPPES

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

RANA HAMID MAHMOOD MD (NPI 1043363211) is an individual neurology provider in Decatur, Illinois, licensed in Illinois (036098559) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1043363211
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameRANA HAMID MAHMOODCredential: MD
Location Address1750 E LAKE SHORE DR STE 310Decatur, IL 62521-3806
Mailing Address1750 E Lake Shore Dr Ste 310Decatur, IL 62521-3806 · (217) 872-5943 · Fax (217) 872-7665
Fax(217) 872-7665
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJanuary 19, 2007
Last NPPES UpdateNovember 14, 20232 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
NPI 1043363211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in IL · 036098559
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedSpecialistTaxonomy 174400000X · License 036098559 (IL)
1750 E LAKE SHORE DR STE 310, Decatur, IL 62521

Other Identifiers 1

Medicaid036098559IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rana Hamid Mahmood Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800859885
PECOS Enrollment IDI20041111000221
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.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
570 services312 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
273 services221 patients
Nerve conduction, 11-12 studies 95912
Nerve conduction studies are tests that measure how well your nerves are working. In 11-12 studies, small electrodes are placed on your skin to send and receive electrical signals. These signals show how quickly and effectively your nerves are transmitting signals, helping to identify any nerve damage or dysfunction.
119 services117 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
118 services116 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
96 services96 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
76 services76 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Kirby Medical Center

Critical Access Hospitals · Monticello, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141301
Location1000 Medical Center DriveMonticello, IL 61856 · Piatt County
Emergency services

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.21
Promoting Interoperability95
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier26 claims71 services$19.56 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers66 claims66 services$37.38 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers46 claims46 services$93.74 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers46 claims116 services$35.27 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers24 claims132 services$19.31 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers17 claims83 services$15.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
1750 E LAKE SHORE DR STE 310
DECATUR, IL 62521

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 Rana Mahmood's NPI number?

The NPI number for Rana Mahmood is 1043363211. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Rana Mahmood located?

Rana Mahmood practices at 1750 E Lake Shore Dr Ste 310, Decatur, IL 62521. The listed phone number is (217) 872-5943.

What is Rana Mahmood's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Rana Mahmood enrolled in Medicare?

Yes. Rana Mahmood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Rana Mahmood affiliated with any hospitals?

According to CMS data, Rana Mahmood is affiliated with St Anthonys Memorial Hospital, Decatur Memorial Hospital, St Marys Hospital, Kirby Medical Center and Pana Community Hospital.

When was this NPI record last updated?

The NPPES record for Rana Mahmood was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.