DR. MAHMOUD M ISMAIL MD
NPI 1326415365
Family Medicine in Rio Rancho, NM

Active since August 25, 2015PECOS EnrolledAccepts Medicare Assignment
2400 UNSER BLVD SE, RIO RANCHO, NM 87124(505) 253-7878(505) 272-6692 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2021, Apr 3, 2021 (2 updates tracked since 2021).

About Dr. Mahmoud M Ismail Md NPPES

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

DR. MAHMOUD M ISMAIL MD (NPI 1326415365) is an individual family medicine provider in Rio Rancho, New Mexico, licensed in New Mexico (MD2019-1040) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1326415365
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MAHMOUD M ISMAILCredential: MD
Location Address2400 UNSER BLVD SERio Rancho, NM 87124-3392
Mailing Address2400 Unser Blvd SeRio Rancho, NM 87124-3392 · (505) 253-7878
Fax(505) 272-6692
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 25, 2015
Last NPPES UpdateJanuary 30, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
NPI 1326415365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NM · MD2019-1040
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sleep MedicineTaxonomy 207QS1201X · License MD2019-1040 (NM)
2400 UNSER BLVD SE, Rio Rancho, NM 87124

Secondary Practice Locations 3

Location 11204 Main St NE Ste ALos Lunas, NM 87031-7423 · Phone (505) 388-2015 · Fax (505) 214-5145
Location 21651 Galisteo St Ste 11Santa Fe, NM 87505-2113 · Phone (505) 395-5315 · Fax (505) 214-5396
Location 31009 Golf Course Rd SE Ste 109Rio Rancho, NM 87124-4705 · Phone (505) 891-3344 · Fax (505) 896-4499

Other Identifiers 1

Medicaid42129559NM

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. Mahmoud M Ismail Md 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 ID2769880640
PECOS Enrollment IDI20211006003242, I20211117002321
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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
183 services85 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.
163 services123 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
147 services82 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.
104 services89 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
86 services85 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
53 services49 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers13 claims16 services$19.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers13 claims16 services$103.68 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers15 claims15 services$16.02 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers15 claims15 services$6.30 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.

Occupational Therapist
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Hospitalist
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Internal Medicine
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Physician Assistant
2400 UNSER BLVD SE, STE 18200
RIO RANCHO, NM 87124
Peer Specialist
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Nurse Anesthetist, Certified Registered
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Registered Nurse (Medical-Surgical)
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Internal Medicine (Pulmonary Disease)
2400 UNSER BLVD SE
RIO RANCHO, NM 87124

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 Mahmoud Ismail's NPI number?

The NPI number for Mahmoud Ismail is 1326415365. It was assigned to this individual provider in the NPPES registry on August 25, 2015.

Where is Mahmoud Ismail located?

Mahmoud Ismail practices at 2400 Unser Blvd SE, Rio Rancho, NM 87124. The listed phone number is (505) 253-7878.

What is Mahmoud Ismail's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mahmoud Ismail enrolled in Medicare?

Yes. Mahmoud Ismail 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 Mahmoud Ismail affiliated with any hospitals?

According to CMS data, Mahmoud Ismail is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Mahmoud Ismail was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.