MAHMOOD ALAM MD
NPI 1083669741
Internal Medicine - Pulmonary Disease in Whitesburg, KY

Q: What is Mahmood Alam's NPI number?

The NPI number for Mahmood Alam is 1083669741. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Mahmood Alam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Mahmood Alam was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

226 MEDICAL PLAZA LANE, WHITESBURG, KY 41858(606) 633-4871(606) 633-0883 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mahmood Alam Md NPPES

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

MAHMOOD ALAM MD (NPI 1083669741) is an individual pulmonary disease provider in Whitesburg, Kentucky, licensed in Kentucky (32958) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1083669741

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMAHMOOD ALAMCredential: MD

Location Address226 MEDICAL PLAZA LANEWhitesburg, KY 41858

Mailing AddressPo Box 40Whitesburg, KY 41858 · (606) 633-4823 · Fax (606) 633-1874

Phone(606) 633-4871

Fax(606) 633-0883

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateMay 23, 2006

Last NPPES UpdateJanuary 4, 2012

✔ NPI 1083669741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in KY · 32958

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

226 MEDICAL PLAZA LANE, Whitesburg, KY 41858

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Other Identifiers 3

Medicaid64011604KY

Medicare UPINH03202

Medicare ID-Type Unspecified0763903KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mahmood Alam 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 ID4486796273

PECOS Enrollment IDI20100115000786

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.

Medicare Billing Reassignment

Medicare enrollment records show Mahmood Alam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain Comprehensive Health Corporation

Same address

Primary Care

226 MEDICAL PLAZA LN
Whitesburg, KY 41858

Reassigned Medicare billing, Kentucky enrollment
95 clinicians in this Medicare group

NPI 1417900242 (606) 633-4823

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 19

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.

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.

424 services158 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

191 services95 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

184 services67 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

117 services96 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

114 services57 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

112 services96 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

111 services57 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

108 services93 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

71 services60 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

50 services48 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

27 services13 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

23 services22 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

20 services20 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

17 services15 patients

Test to measure oxygen level in blood using ear or finger device 94760

This procedure involves a small device, called a pulse oximeter, which is placed on your finger or ear. It shines a light through the skin to measure the amount of oxygen in your blood. It's quick, painless, and can help monitor your health.

16 services16 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

14 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

13 services13 patients

Artery puncture collection of blood sample 36600

Artery puncture collection is a procedure where a thin needle is inserted into an artery, typically in your wrist, to collect a blood sample. This method often provides more accurate results for certain tests, such as oxygen and carbon dioxide levels. It's generally safe but may cause slight discomfort.

12 services12 patients

Blood gases measurement 82803

Blood gases measurement is a test that checks how well your lungs move oxygen into your blood and remove carbon dioxide. It involves drawing blood from an artery, typically in your wrist. The results help evaluate your lung function and guide treatment plans.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180002

Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County

Emergency services Birthing friendly

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180029

Location100 Medical Center DriveHazard, KY 41701 · Perry County

Emergency services Birthing friendly

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180044

Location911 Bypass RoadPikeville, KY 41501 · Pike County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41858 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 15

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

4 suppliers28 claims56 services$2.00 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers14 claims14 services$113.66 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers14 claims49 services$3.08 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers70 claims70 services$21.01 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers29 claims29 services$729.85 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

1 supplier12 claims12 services$127.20 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 3

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

MARLENE A BIELECKI MD

Family Medicine

226 MEDICAL PLAZA LANE
WHITESBURG, KY 41858

Letcher County (606) 633-4871

VAN S BREEDING MD

Family Medicine

226 MEDICAL PLAZA LANE
WHITESBURG, KY 41858

Letcher County (606) 633-4871

FARES KHATER MD

Internal Medicine

226 MEDICAL PLAZA LANE
WHITESBURG, KY 41858

Letcher County (606) 633-4871

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 Mahmood Alam's NPI number?

The NPI number for Mahmood Alam is 1083669741. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Mahmood Alam located?

Mahmood Alam practices at 226 Medical Plaza Lane, Whitesburg, KY 41858. The listed phone number is (606) 633-4871.

What is Mahmood Alam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mahmood Alam enrolled in Medicare?

Yes. Mahmood Alam 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.

Which organization bills Medicare for Mahmood Alam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahmood Alam reassigns Medicare benefits to Mountain Comprehensive Health Corporation (Whitesburg, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mahmood Alam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mahmood Alam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Mahmood Alam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mahmood Alam affiliated with any hospitals?

According to CMS data, Mahmood Alam is affiliated with Whitesburg Arh Hospital, Hazard Arh Regional Medical Center and Pikeville Medical Center.

When was this NPI record last updated?

The NPPES record for Mahmood Alam was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.