MAHMOUD QADOOM MD
NPI 1336105113
Internal Medicine - Pulmonary Disease in Westerville, OH

Q: What is Mahmoud Qadoom's NPI number?

The NPI number for Mahmoud Qadoom is 1336105113. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Q: What is Mahmoud Qadoom's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Mahmoud Qadoom was last updated on November 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment

95.88/100

CMS Quality Rating

450 ALKYRE RUN, SUITE 230, WESTERVILLE, OH 43082(614) 898-9340(614) 898-9350 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mahmoud Qadoom Md NPPES

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

MAHMOUD QADOOM MD (NPI 1336105113) is an individual pulmonary disease provider in Westerville, Ohio, licensed in Ohio (35087537) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1336105113

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMAHMOUD QADOOMCredential: MD

Location Address450 ALKYRE RUN, SUITE 230Westerville, OH 43082-6909

Mailing AddressPo Box 6045Hilliard, OH 43026-6045 · (614) 451-8770 · Fax (614) 451-2291

Phone(614) 898-9340

Fax(614) 898-9350

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateApril 21, 2006

Last NPPES UpdateNovember 19, 2020

NPPES CertifiedNovember 19, 2020

✔ NPI 1336105113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in OH · 35087537

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35087537 (OH)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 35087537 (OH)

450 ALKYRE RUN, Westerville, OH 43082

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Other Identifiers 1

Medicaid2658744OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Mahmoud Qadoom 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 ID6103885678

PECOS Enrollment IDI20060614000079

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 12

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 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.

410 services316 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.

142 services118 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.

137 services137 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

132 services113 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

93 services90 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.

69 services68 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

67 services49 patients

Sleep study in sleep lab (6 years or older) 95810

38 services37 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

28 services26 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

26 services24 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

23 services22 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360012

Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County

Emergency services Birthing friendly

Mary Rutan Hospital

Acute Care Hospitals · Bellefontaine, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360197

Location205 Palmer AvenueBellefontaine, OH 43311 · Logan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43082 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

95.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

91.77

Improvement Activities

Reported Quality Measures

Advance Care Plan

91%789 patients4/55-star benchmark: 100%

Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy

100%107 patients

Documentation of Current Medications in the Medical Record

100%3,964 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%754 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%2,299 patients5/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 99% · 1,036 patients

Patients screened: 99% · 1,036 patients

100%106 patients5/55-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 28

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

32 suppliers424 claims424 services$37.00 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers20 claims40 services$1.13 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

32 suppliers409 claims409 services$89.07 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

28 suppliers358 claims784 services$33.74 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

27 suppliers225 claims1,089 services$18.31 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

15 suppliers173 claims870 services$12.73 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

29 suppliers442 claims443 services$52.03 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

37 suppliers546 claims546 services$18.12 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

9 suppliers44 claims44 services$9.05 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

25 suppliers413 claims413 services$14.31 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

40 suppliers833 claims4,546 services$2.13 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

20 suppliers182 claims182 services$6.09 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

30 suppliers302 claims302 services$11.94 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers50 claims50 services$17.53 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers24 claims24 services$907.03 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

9 suppliers76 claims76 services$90.81 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

6 suppliers22 claims22 services$237.42 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

18 suppliers109 claims109 services$145.31 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

11 suppliers112 claims125 services$14.54 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier36 claims38 services$5.17 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

30 suppliers1,009 claims1,022 services$38.89 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

13 suppliers153 claims153 services$75.18 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers30 claims30 services$29.87 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims720 services$6.41 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

8 suppliers24 claims5,451 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers20 claims2,105 services$0.08 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier23 claims1,380 services$0.78 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

8 suppliers66 claims66 services$23.46 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 13

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

PULMONARY AND SLEEP CONSULTANTS, LLC

Internal Medicine (Pulmonary Disease)

450 ALKYRE RUN, SUITE 230
WESTERVILLE, OH 43082

Delaware County (614) 898-9340

STEVEN HWAN SUH M.D.

Ophthalmology

450 ALKYRE RUN, SUITE 100
WESTERVILLE, OH 43082

Delaware County (614) 890-5692

DR. KEVIN D. YOUNKIN DDS, MS

Dentist (Endodontics)

450 ALKYRE RUN, SUITE 290
WESTERVILLE, OH 43082

Delaware County (614) 891-7550

COMPREHENSIVE EYECARE OF CENTRAL OH, INC

Ophthalmology

450 ALKYRE RUN, SUITE 100
WESTERVILLE, OH 43082

Delaware County (614) 890-5692

SEAN B. ABIDIN, DDS & VANESSA M. CAO, DDS, LLC

Clinic/Center (Dental)

450 ALKYRE RUN, SUITE 260
WESTERVILLE, OH 43082

Delaware County (614) 882-9828

DR. LYNN A MONSTWIL D.D.S.

Dentist (General Practice)

450 ALKYRE RUN, STE 260
WESTERVILLE, OH 43082

Delaware County (614) 882-9828

MICHAEL R. PORTS M.D.

Internal Medicine

450 ALKYRE RUN, SUITE 380
WESTERVILLE, OH 43082

Delaware County (614) 899-9188

GEORGE MICHAEL CHIORAN M.D.

Ophthalmology

450 ALKYRE RUN, SUITE 100
WESTERVILLE, OH 43082

Delaware County (614) 890-5692

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 Qadoom's NPI number?

The NPI number for Mahmoud Qadoom is 1336105113. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Mahmoud Qadoom located?

Mahmoud Qadoom practices at 450 Alkyre Run Suite 230, Westerville, OH 43082. The listed phone number is (614) 898-9340.

What is Mahmoud Qadoom's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mahmoud Qadoom enrolled in Medicare?

Yes. Mahmoud Qadoom 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 Mahmoud Qadoom accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Mahmoud Qadoom 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 Mahmoud Qadoom affiliated with any hospitals?

According to CMS data, Mahmoud Qadoom is affiliated with Mount Carmel St Ann's and Mary Rutan Hospital.

When was this NPI record last updated?

The NPPES record for Mahmoud Qadoom was last updated on November 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.