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

Q: 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.

Q: What is Parvez Mahmood's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Parvez Mahmood was last updated on September 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 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: October 18, 2026.

On this page

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

Phone(732) 286-6644

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

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Other Identifiers 5

Other534044BD9NJ · Medicare Id

Other222843719NJ · Tax Id

Medicare UPINC60242NJ

Other31D0715825NJ · Clia

Medicaid0950106NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

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.

Medicare Billing Reassignment

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

Lakewood Urology Limited Liability Company

30 mi

Urology

1374 WHITEHORSE HAMILTON SQUARE RD, SUITE 101
Hamilton, NJ 08690

Reassigned Medicare billing, New Jersey enrollment
8 clinicians in this Medicare group

NPI 1356569388 (609) 581-5900

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 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

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

95 services88 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

91 services74 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

69 services58 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

62 services59 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.

31 services31 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

17 services17 patients

Limited ultrasound scan of pelvis 76857

A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.

13 services13 patients

Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728

This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.

11 services11 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

11 services11 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

11 services11 patients

Dilation of urethra using an endoscope 52281

This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.

11 services11 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.

DR. PRABHAT KUMAR SINHA MD

Internal Medicine

20 HOSPITAL DR, STE 3
TOMS RIVER, NJ 08755

Ocean County (732) 341-9900

EDWARD D FIORE MD PA

Family Medicine

20 HOSPITAL DR, SUITE 12A
TOMS RIVER, NJ 08755

Ocean County (732) 349-2067

ANOOP PORWAL MD

Physical Medicine & Rehabilitation

20 HOSPITAL DR, SUITE 17A
TOMS RIVER, NJ 08755

Ocean County (732) 557-4444

MRS. LEANNA A HAYNES

Social Worker

20 HOSPITAL DR
TOMS RIVER, NJ 08755

Ocean County (732) 831-6094

ANTOINE C. CHAKER, M.D., P.A.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

20 HOSPITAL DR, SUITE 18
TOMS RIVER, NJ 08755

Ocean County (732) 341-7400

DR. ASHOK K PATEL M.D.

Specialist

20 HOSPITAL DR, SUITE 12
TOMS RIVER, NJ 08755

Ocean County (732) 244-2299

MAHMOOD-SCHOR UROLOGY, P.A.

Specialist

20 HOSPITAL DR, SUITE 15
TOMS RIVER, NJ 08755

Ocean County (732) 286-6644

BOTOX AND FAMILY ASSOCIATES LLC

Family Medicine (Geriatric Medicine)

20 HOSPITAL DR
TOMS RIVER, NJ 08755

Ocean County (732) 341-9900

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.

Which organization bills Medicare for Parvez Mahmood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Parvez Mahmood reassigns Medicare benefits to Lakewood Urology Limited Liability Company (Hamilton, NJ). 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 Parvez Mahmood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Parvez Mahmood accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Parvez Mahmood 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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.