DR. MAHMOUD N SOUBRA M.D.
NPI 1427212224
Internal Medicine - Gastroenterology in Austin, TX

Q: What is Mahmoud Soubra's NPI number?

The NPI number for Mahmoud Soubra is 1427212224. It was assigned to this individual provider in the NPPES registry on July 11, 2008.

Q: What is Mahmoud Soubra's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mahmoud Soubra was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since July 11, 2008PECOS EnrolledAccepts Medicare Assignment

93.25/100

CMS Quality Rating

12221 N MOPAC EXPY, AUSTIN, TX 78758(512) 901-4007(512) 901-3907 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2022, Feb 17, 2020, Apr 24, 2017 (3 updates tracked since 2017).

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About Dr. Mahmoud N Soubra M.d. NPPES

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

DR. MAHMOUD N SOUBRA M.D. (NPI 1427212224) is an individual gastroenterology provider in Austin, Texas, licensed in Texas (S4060) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with St David's South Austin Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1427212224

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. MAHMOUD N SOUBRACredential: M.D.

Location Address12221 N MOPAC EXPYAustin, TX 78758-2401

Mailing Address12221 N Mopac ExpyAustin, TX 78758-2401 · (512) 901-4937 · Fax (512) 901-3945

Phone(512) 901-4007

Fax(512) 901-3907

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 11, 2008

Last NPPES UpdateFebruary 9, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2020

✔ NPI 1427212224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in TX · S4060✔ Licensed in IA · MD-39553

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 39553 (IA)

12221 N MOPAC EXPY, Austin, TX 78758

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Mahmoud N Soubra 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 ID6901075654

PECOS Enrollment IDI20200305000999

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

52 services51 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.

41 services30 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

38 services16 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

25 services24 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.

24 services23 patients

Detection of gliadin (deamidated) (dgp) antibody 86258

The detection of Deamidated Gliadin Peptide (dgp) antibody is a blood test that helps diagnose celiac disease, an autoimmune disorder. It identifies antibodies produced by the immune system in response to a protein found in wheat and other grains.

22 services11 patients

Measurement of tissue transglutaminase 86364

Measurement of tissue transglutaminase is a blood test used to help diagnose conditions like celiac disease. It checks for certain antibodies that your body might produce if you have these conditions. It's a simple, non-invasive procedure.

22 services11 patients

Breath test analysis for helicobacter pylori 83013

A breath test for Helicobacter pylori is a non-invasive procedure that helps detect bacteria causing stomach issues. You'll swallow a harmless substance containing a special carbon atom. If the bacteria are present, they'll release this atom in your breath, which can be detected.

18 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 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.

17 services17 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

16 services16 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

12 services12 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number450713

Location901 West Ben White BlvdAustin, TX 78704 · Travis County

Emergency services Birthing friendly

North Austin Medical Center

Acute Care Hospitals · Austin, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450809

Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78758 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.

93.25/100

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

Individually scored

Quality

92.06

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

62%129 patients3/55-star benchmark: 93%

Cervical Cancer Screening

49%254 patients3/55-star benchmark: 98%

Colorectal Cancer Screening

87%374 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

68%231 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

25%88 patients4/55-star benchmark: 91%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

85%125 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 3% · 208 patients

Patients totalRate: 0% · 208 patients

0%208 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.

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.

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