MAHMOUD HASSOUBA MD
NPI 1437534682
Surgery - Plastic and Reconstructive Surgery in Memphis, TN

NPI Status: Active since July 29, 2015

Contact Information

1068 CRESTHAVEN RD STE 500
MEMPHIS, TN
ZIP 38119
Phone: (901) 866-8525
Fax: (901) 302-2525

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NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 12, 2026.

Record update history: Mar 26, 2025, Apr 8, 2022, Apr 26, 2017 (3 updates tracked since 2017).

  • Individual
  • Male
  • Years of Experience 21
  • Surgery
  • Plastic and Reconstructive Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MAHMOUD HASSOUBA

This page provides the complete NPI Profile along with additional information for Mahmoud Hassouba, a provider established in Memphis, Tennessee with a medical specialization in Surgery, focusing in plastic and reconstructive surgery and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1437534682 assigned on July 2015. The practitioner's primary taxonomy code is 2086S0122X with license number 63540 (TN). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1437534682
Provider Name
MAHMOUD HASSOUBA MD
Gender
Male
Entity Type
Individual
Location Address
1068 CRESTHAVEN RD STE 500 MEMPHIS, TN 38119
Location Phone
(901) 866-8525
Location Fax
(901) 302-2525
Mailing Address
1068 CRESTHAVEN RD STE 300 MEMPHIS, TN 38119
Mailing Phone
(901) 866-8864
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
07-29-2015
Last Update Date
03-26-2025
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Location Map

Secondary Locations

  • 262 Danny Thomas Pl
    Memphis, TN 38105
    (901) 595-3300

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
License No.
63540
License State
TN
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208200000XAllopathic & Osteopathic Physicians

Plastic Surgery

63540 (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • Molina Gold Standard - HMO
  • Molina Silver Standard - HMO
  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Gold Classic Standard - HMO
  • Silver Classic Standard - HMO
  • Silver Simple - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Simple - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Bronze Simple Chronic Care CKM - EPO
  • Bronze Simple Diabetes - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Silver Simple Chronic Care CKM - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO
  • Silver Simple Women's Health with Menopause Benefits - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Mahmoud Hassouba is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Mahmoud Hassouba is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6204229412

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220211000665

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less

This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.

This service was performed 22 times for 17 patients

Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less

This procedure involves preparing a specific area of your body (trunk, arms, or legs) for a skin graft. The area is cleaned and treated to receive new skin, usually to aid in healing from a burn or wound. The size of the area treated is up to 100.0 sq cm or 1% of a child's body area.

This service was performed 130 times for 14 patients

Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less

A skin substitute graft is a medical procedure where artificial skin is used to cover a large wound on the trunk, arms, or legs. This treatment helps promote healing and is especially useful for wounds 100.0 sq cm or more, or 1% of body area for infants and children.

This service was performed 17 times for 14 patients

Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less

This procedure involves applying a skin substitute graft to a large wound on your trunk, arms, or legs. The graft, made from synthetic or natural materials, aids in healing by covering and protecting the wound. The size of the graft depends on the wound's area.

This service was performed 163 times for 14 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mahmoud Hassouba is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
REGIONAL ONE HEALTH877 JEFFERSON AVENUE
MEMPHIS, TN 38103
(901) 545-7928Acute Care Hospitals

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1437534682, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
3
Doubled → 6
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 6 + 7 + 1 + 0 + 3 + 8 + 6 + 1 + 6 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1437534682.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Surgery
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Psychiatry & Neurology (Psychiatry)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Plastic Surgery
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Internal Medicine
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Physician Assistant (Surgical)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Physician Assistant (Surgical)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Plastic Surgery
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Plastic Surgery
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Plastic Surgery
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437534682, enumerated as an "individual" on July 29, 2015.

The provider is located at 1068 CRESTHAVEN RD STE 500 MEMPHIS, TN 38119 and the phone number is (901) 866-8525.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Molina. Please consult your insurance carrier or call the provider to verify.

Mahmoud Hassouba is affiliated with: REGIONAL ONE HEALTH.