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SANAA ABDEL-RAHMAN MAHMOUD M.D.
NPI 1174527956
Allergy & Immunology in Somerset, KY

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
110 HARDIN LN, STE 3, SOMERSET, KY 42503(606) 451-0115(606) 451-0155 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sanaa Abdel-rahman Mahmoud M.d. NPPES

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

SANAA ABDEL-RAHMAN MAHMOUD M.D. (NPI 1174527956) is an individual allergy & immunology provider in Somerset, Kentucky, licensed in Kentucky (39319) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1174527956
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameSANAA ABDEL-RAHMAN MAHMOUDCredential: M.D.
Location Address110 HARDIN LN, STE 3Somerset, KY 42503-3818
Mailing Address110 Hardin Ln, Ste 3Somerset, KY 42503-3818 · (606) 451-0115 · Fax (606) 451-0155
Phone(606) 451-0115
Fax(606) 451-0155
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJune 9, 2005
Last NPPES UpdateJuly 3, 2014
✔ NPI 1174527956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in KY · 39319
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
110 HARDIN LN, Somerset, KY 42503
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Other Identifiers 2

Medicare UPINI 25972KY
Medicare PIN0954801KY

Accepted Insurance

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

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

Sanaa Abdel-rahman Mahmoud 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 ID3274587761
PECOS Enrollment IDI20050311000093
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 6

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
760 services16 patients
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.
69 services43 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
32 services22 patients
Test to measure the level of nitric oxide gas 95012
A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.
21 services14 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
20 services12 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.
15 services14 patients

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%45 patients3/55-star benchmark: 100%
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…
47%57 patients2/55-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.

Other Providers at the Same Location NPPES 16

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

MOUNTAINVIEW BEHAVIORAL & NEUROSCIENCE CENTER LLC
Psychiatry & Neurology (Psychiatry)
110 HARDIN LN, SUITE 1
SOMERSET, KY 42503
Pulaski County (606) 451-9748
MOHAMMAD AFZAL MD
Internal Medicine
110 HARDIN LN, SUITE 2-B
SOMERSET, KY 42503
Pulaski County (606) 451-0312
LAKE CUMBERLAND GASTROENTEROLOGY AND INTERNAL MEDICINE ASSOC. INC.
Internal Medicine (Gastroenterology)
110 HARDIN LN, SUITE 9
SOMERSET, KY 42503
Pulaski County (606) 679-7317
KHALID IQBAL MD
Internal Medicine (Gastroenterology)
110 HARDIN LN, SUITE 9
SOMERSET, KY 42503
Pulaski County (606) 679-7317
SCOTT MATTHEW STEPHENS M.D.
Internal Medicine
110 HARDIN LN, SUITE 10
SOMERSET, KY 42503
Pulaski County (606) 679-9268
JAMIE GRIDER CRNA
Nurse Anesthetist, Certified Registered
110 HARDIN LN
SOMERSET, KY 42503
Pulaski County (606) 678-3288
MEGAN WEATHERFORD
Psychologist (Counseling)
110 HARDIN LN
SOMERSET, KY 42503
Pulaski County (606) 679-7348
DR. ROBINA M BOKHARI M.D.
Psychiatry & Neurology (Psychiatry)
110 HARDIN LN, SUITE #1
SOMERSET, KY 42503
Pulaski County (606) 451-9748

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 Sanaa Mahmoud's NPI number?

The NPI number for Sanaa Mahmoud is 1174527956. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Sanaa Mahmoud located?

Sanaa Mahmoud practices at 110 Hardin Ln Ste 3, Somerset, KY 42503. The listed phone number is (606) 451-0115.

What is Sanaa Mahmoud's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Sanaa Mahmoud enrolled in Medicare?

Yes. Sanaa Mahmoud 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.

What insurance does Sanaa Mahmoud accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Sanaa Mahmoud 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.

When was this NPI record last updated?

The NPPES record for Sanaa Mahmoud was last updated on July 3, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.