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MAHMOUD YOUSEF SAID MADI M.D.
NPI 1346692597
Internal Medicine - Gastroenterology in Austin, TX

Active since July 11, 2016PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1301 W 38TH ST STE 315, AUSTIN, TX 78705(512) 324-7831 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2023, Mar 17, 2023, Feb 12, 2020 and 2 more (5 updates tracked since 2016).

About Mahmoud Yousef Said Madi M.d. NPPES

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

MAHMOUD YOUSEF SAID MADI M.D. (NPI 1346692597) is an individual gastroenterology provider in Austin, Texas, licensed in Texas (V7567) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1346692597
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMAHMOUD YOUSEF SAID MADICredential: M.D.
Location Address1301 W 38TH ST STE 315Austin, TX 78705-1012
Mailing Address1601 Trinity St Bldg BAustin, TX 78712-1765
Phone(512) 324-7831
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 11, 2016
Last NPPES UpdateAugust 26, 20255 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1346692597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · V7567
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1301 W 38TH ST STE 315, Austin, TX 78705
Open in Google Maps ↗

Secondary Practice Location 1

Location 11201 W 38th StAustin, TX 78705-1006 · Phone (512) 324-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 Yousef Said Madi 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 ID3173859543
PECOS Enrollment IDI20251204001671
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

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 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.
25 services15 patients

Hospital Affiliations CMS Care Compare

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

DR. JENY GHARTEY D.O.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1301 W 38TH ST STE 315
AUSTIN, TX 78705
Travis County (512) 324-7256
MOHAMMAD A YOUSEF MD
Internal Medicine (Gastroenterology)
1301 W 38TH ST STE 315
AUSTIN, TX 78705
Travis County (512) 324-7831
ROSEMARY PATRICIA ROGERS
Genetic Counselor, MS
1301 W 38TH ST STE 315
AUSTIN, TX 78705
Travis County (512) 324-0040

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 Madi's NPI number?

The NPI number for Mahmoud Madi is 1346692597. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Mahmoud Madi located?

Mahmoud Madi practices at 1301 W 38th St Ste 315, Austin, TX 78705. The listed phone number is (512) 324-7831.

What is Mahmoud Madi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mahmoud Madi enrolled in Medicare?

Yes. Mahmoud Madi 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 Madi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Mahmoud Madi 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 Madi affiliated with any hospitals?

According to CMS data, Mahmoud Madi is affiliated with Ascension Seton Medical Center Austin.

When was this NPI record last updated?

The NPPES record for Mahmoud Madi was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.