DR. PARVEZ MAHMOOD M.D.
NPI 1174520936
Specialist in Toms River, NJ

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
20 HOSPITAL DR, SUITE 15, TOMS RIVER, NJ 08755(732) 286-6644(732) 286-9321 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Parvez Mahmood M.d. NPPES

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

DR. PARVEZ MAHMOOD M.D. (NPI 1174520936) is an individual specialist in Toms River, New Jersey, licensed in New Jersey (25MA02823000) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (1967).

NPPES Registry Identity

NPI1174520936
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. PARVEZ MAHMOODCredential: M.D.
Location Address20 HOSPITAL DR, SUITE 15Toms River, NJ 08755-6434
Mailing Address20 Hospital Dr, Suite 15Toms River, NJ 08755-6434 · (732) 286-6644 · Fax (732) 286-9321
Fax(732) 286-9321
Sole ProprietorNo
Medical School CMSOtherGraduated 1967
Enumeration DateJuly 7, 2005
Last NPPES UpdateSeptember 20, 2007
NPI 1174520936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · 25MA02823000
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
20 HOSPITAL DR, Toms River, NJ 08755

Other Identifiers 5

Other534044BD9NJ · Medicare Id
Other222843719NJ · Tax Id
Medicare UPINC60242NJ
Other31D0715825NJ · Clia
Medicaid0950106NJ

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

Dr. Parvez Mahmood M.d. 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 ID2860475803
PECOS Enrollment IDI20050608000157
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 17

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 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.
467 services272 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.
376 services220 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
312 services223 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
250 services58 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
102 services76 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
95 services85 patients

Hospital Affiliations CMS Care Compare 3

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

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

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
1%790 patients1/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 4% · 54 patients
4%55 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
78%828 patients4/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
94%182 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier17 claims3,390 services$0.09 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims420 services$1.94 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers40 claims10,350 services$1.61 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier22 claims1,890 services$6.13 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers15 claims42 services$8.88 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 20

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

Internal Medicine
20 HOSPITAL DR, STE 3
TOMS RIVER, NJ 08755
Family Medicine
20 HOSPITAL DR, SUITE 12A
TOMS RIVER, NJ 08755
Physical Medicine & Rehabilitation
20 HOSPITAL DR, SUITE 17A
TOMS RIVER, NJ 08755
Social Worker
20 HOSPITAL DR
TOMS RIVER, NJ 08755
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
20 HOSPITAL DR, SUITE 18
TOMS RIVER, NJ 08755
Specialist
20 HOSPITAL DR, SUITE 12
TOMS RIVER, NJ 08755
Specialist
20 HOSPITAL DR, SUITE 15
TOMS RIVER, NJ 08755
Family Medicine (Geriatric Medicine)
20 HOSPITAL DR
TOMS RIVER, NJ 08755

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 Parvez Mahmood's NPI number?

The NPI number for Parvez Mahmood is 1174520936. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Parvez Mahmood located?

Parvez Mahmood practices at 20 Hospital Dr Suite 15, Toms River, NJ 08755. The listed phone number is (732) 286-6644.

What is Parvez Mahmood's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Parvez Mahmood enrolled in Medicare?

Yes. Parvez 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 Parvez Mahmood affiliated with any hospitals?

According to CMS data, Parvez Mahmood is affiliated with Community Medical Center, Ocean Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Parvez Mahmood was last updated on September 20, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.