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MAHMOOD KEDO MD
NPI 1306690284
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 16, 2024PECOS Enrolled
550 UNIVERSITY BLVD # 641, INDIANAPOLIS, IN 46202(317) 278-7056 Get Directions Write a Review

NPPES record last updated: June 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2025, Aug 16, 2024, Apr 16, 2024 (3 updates tracked since 2024).

About Mahmood Kedo Md NPPES

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

MAHMOOD KEDO MD (NPI 1306690284) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11023488A) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306690284
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAHMOOD KEDOCredential: MD
Location Address550 UNIVERSITY BLVD # 641Indianapolis, IN 46202-5149
Mailing Address2200 Randallia DrFort Wayne, IN 46805-4638 · (317) 520-4025
Phone(317) 278-7056
Sole ProprietorNo
Enumeration DateApril 16, 2024
Last NPPES UpdateJune 22, 20253 updates tracked since enumeration
NPPES CertifiedJune 22, 2025
✔ NPI 1306690284 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 IN · 11023488A
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.
550 UNIVERSITY BLVD # 641, Indianapolis, IN 46202
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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)

Mahmood Kedo 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 3

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

IVAN ROUBAL MD
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD # 641
INDIANAPOLIS, IN 46202
Marion County (317) 278-7056
FLORA AMY ACHIKO MD
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD # 641
INDIANAPOLIS, IN 46202
Marion County (317) 948-2444
KRISTIN CHERIE FRISBY DO
Radiology (Diagnostic Radiology)
550 UNIVERSITY BLVD # 641
INDIANAPOLIS, IN 46202
Marion County (317) 274-0010

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 Kedo's NPI number?

The NPI number for Mahmood Kedo is 1306690284. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Mahmood Kedo located?

Mahmood Kedo practices at 550 University Blvd # 641, Indianapolis, IN 46202. The listed phone number is (317) 278-7056.

What is Mahmood Kedo's specialty?

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

Is Mahmood Kedo enrolled in Medicare?

Yes. Mahmood Kedo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mahmood Kedo was last updated on June 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.