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SHAWN MAHMOOD
NPI 1053052530
Student in an Organized Health Care Education/Training Program in Lebanon, OR

Active since April 06, 2022PECOS Enrolled
200 MULLINS DR # 200, LEBANON, OR 97355(541) 259-0235 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawn Mahmood NPPES

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

SHAWN MAHMOOD (NPI 1053052530) is an individual student in an organized health care education/training program in Lebanon, Oregon and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053052530
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHAWN MAHMOOD
Location Address200 MULLINS DR # 200Lebanon, OR 97355-3983
Mailing Address200 Mullins Dr # 200Lebanon, OR 97355-3983 · (541) 259-0235
Phone(541) 259-0235
Sole ProprietorYes
Enumeration DateApril 6, 2022
NPPES CertifiedApril 6, 2022
✔ NPI 1053052530 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.
200 MULLINS DR # 200, Lebanon, OR 97355
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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)

Shawn Mahmood 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 Shawn Mahmood's NPI number?

The NPI number for Shawn Mahmood is 1053052530. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Shawn Mahmood located?

Shawn Mahmood practices at 200 Mullins Dr # 200, Lebanon, OR 97355. The listed phone number is (541) 259-0235.

What is Shawn Mahmood's specialty?

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

Is Shawn Mahmood enrolled in Medicare?

Yes. Shawn Mahmood is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shawn Mahmood was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.