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

Q: What is Mahmoud Hassouba's NPI number?

The NPI number for Mahmoud Hassouba is 1437534682. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Q: What is Mahmoud Hassouba's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Mahmoud Hassouba was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since July 29, 2015PECOS EnrolledAccepts Medicare Assignment

1068 CRESTHAVEN RD STE 500, MEMPHIS, TN 38119(901) 866-8525(901) 302-2525 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

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About Mahmoud Hassouba Md NPPES

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

MAHMOUD HASSOUBA MD (NPI 1437534682) is an individual plastic and reconstructive surgery provider in Memphis, Tennessee, licensed in Tennessee (63540) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Regional One Health, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1437534682

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameMAHMOUD HASSOUBACredential: MD

Location Address1068 CRESTHAVEN RD STE 500Memphis, TN 38119-0846

Mailing Address1068 Cresthaven Rd Ste 300Memphis, TN 38119-0809 · (901) 866-8864

Phone(901) 866-8525

Fax(901) 302-2525

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 29, 2015

Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration

NPPES CertifiedMarch 26, 2025

✔ NPI 1437534682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in TN · 63540

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X · License 63540 (TN)

1068 CRESTHAVEN RD STE 500, Memphis, TN 38119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Molina Healthcare, Oscar Health Plan, Inc. 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 Hassouba 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 ID6204229412

PECOS Enrollment IDI20220211000665

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 4

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.

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 15274

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.

163 services14 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 15003

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.

130 services14 patients

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002

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.

22 services17 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 15273

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.

17 services14 patients

Hospital Affiliations CMS Care Compare

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

Regional One Health

Acute Care Hospitals · Memphis, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440152

Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 15

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

DR. ROBERT D WALLACE MD

Surgery (Plastic and Reconstructive Surgery)