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MUHANNAD MAHMOUD TARIQ MAHMOUD MD
NPI 1104715994
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since June 28, 2025PECOS Enrolled
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24, CLEVELAND, OH 44195(440) 547-4903 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Muhannad Mahmoud Tariq Mahmoud Md NPPES

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

MUHANNAD MAHMOUD TARIQ MAHMOUD MD (NPI 1104715994) is an individual student in an organized health care education/training program in Cleveland, Ohio, licensed in Ohio (57.258341) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104715994
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMUHANNAD MAHMOUD TARIQ MAHMOUDCredential: MD
Location AddressCLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24Cleveland, OH 44195-0001
Mailing AddressCleveland Clinic 9500 Euclid Avenue/jj24Cleveland, OH 44195-0001
Phone(440) 547-4903
Sole ProprietorYes
Enumeration DateJune 28, 2025
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1104715994 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
License✔ Licensed in OH · 57.258341
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.
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24, Cleveland, OH 44195
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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)

Muhannad Mahmoud Tariq Mahmoud Md 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.

Other Providers at the Same Location NPPES 20

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

MEGAN KATE WASSON
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
SERENE AHMAD MD
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
ELIZABETH EVERETT STANLEY
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
SHAO-WEI LO
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (904) 207-4684
DIEGO RAMONFAUR
Internal Medicine
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (667) 202-1848
DIANA ARIAS DO
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MARIA ALQAMISH MD
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
DR. JOSE CARLOS FERNANDEZ MD
Internal Medicine
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200

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 Muhannad Mahmoud Tariq Mahmoud's NPI number?

The NPI number for Muhannad Mahmoud Tariq Mahmoud is 1104715994. It was assigned to this individual provider in the NPPES registry on June 28, 2025.

Where is Muhannad Mahmoud Tariq Mahmoud located?

Muhannad Mahmoud Tariq Mahmoud practices at Cleveland Clinic 9500 Euclid Avenue/Jj24, Cleveland, OH 44195. The listed phone number is (440) 547-4903.

What is Muhannad Mahmoud Tariq Mahmoud's specialty?

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

Is Muhannad Mahmoud Tariq Mahmoud enrolled in Medicare?

Yes. Muhannad Mahmoud Tariq Mahmoud is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Muhannad Mahmoud Tariq Mahmoud was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.