HUSSAM MAHMOOD DO
NPI 1356911655
Internal Medicine in Halifax, PA

Active since June 29, 2021PECOS EnrolledAccepts Medicare Assignment
36 S RIVER RD, HALIFAX, PA 17032(717) 827-3428(717) 827-3437 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2024, Jul 15, 2024, Jun 11, 2024 and 1 more (4 updates tracked since 2021).

About Hussam Mahmood Do NPPES

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

HUSSAM MAHMOOD DO (NPI 1356911655) is an individual internal medicine provider in Halifax, Pennsylvania, licensed in Pennsylvania (OS024024) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains a secondary practice location in Elizabethville.

NPPES Registry Identity

NPI1356911655
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHUSSAM MAHMOODCredential: DO
Location Address36 S RIVER RDHalifax, PA 17032-8614
Mailing Address7 Dock Hill RdMiddleburg, PA 17842-8910 · (570) 837-2123 · Fax (570) 837-2185
Fax(717) 827-3437
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2021
Enumeration DateJune 29, 2021
Last NPPES UpdateDecember 11, 20244 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
NPI 1356911655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · OS024024
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

36 S RIVER RD, Halifax, PA 17032

Secondary Practice Location 1

Location 14897 State Route 209Elizabethville, PA 17023-8455 · Phone (717) 362-3371 · Fax (717) 362-4278

Other Identifiers 2

Medicaid1039193020002PA
Other6U8151PA · Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Hussam Mahmood Do 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 ID4183013519
PECOS Enrollment IDI20240729004492
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.

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.
46 services40 patients

Hospital Affiliations CMS Care Compare

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17032 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner
36 S RIVER RD
HALIFAX, PA 17032
Nurse Practitioner
36 S RIVER RD
HALIFAX, PA 17032
Family Medicine
36 S RIVER RD
HALIFAX, PA 17032
Family Medicine
36 S RIVER RD
HALIFAX, PA 17032
Physician Assistant
36 S RIVER RD
HALIFAX, PA 17032
Family Medicine
36 S RIVER RD
HALIFAX, PA 17032
Clinic/Center (Primary Care)
36 S RIVER RD
HALIFAX, PA 17032
Physical Therapist
36 S RIVER RD
HALIFAX, PA 17032

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 Hussam Mahmood's NPI number?

The NPI number for Hussam Mahmood is 1356911655. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Hussam Mahmood located?

Hussam Mahmood practices at 36 S River Rd, Halifax, PA 17032. The listed phone number is (717) 827-3428.

What is Hussam Mahmood's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hussam Mahmood enrolled in Medicare?

Yes. Hussam Mahmood 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 Hussam Mahmood affiliated with any hospitals?

According to CMS data, Hussam Mahmood is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Hussam Mahmood was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.