MAHMOUD MAHMOUD M.D.
NPI 1457715161
Internal Medicine - Nephrology in Stuart, FL

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
509 SE RIVERSIDE DR STE 203, STUART, FL 34994(772) 223-5945 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2022, Sep 25, 2020, Jul 2, 2020 (3 updates tracked since 2020).

About Mahmoud Mahmoud M.d. NPPES

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

MAHMOUD MAHMOUD M.D. (NPI 1457715161) is an individual nephrology provider in Stuart, Florida, licensed in North Dakota (16569) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1457715161
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMAHMOUD MAHMOUDCredential: M.D.
Location Address509 SE RIVERSIDE DR STE 203Stuart, FL 34994-2579
Mailing Address509 Se Riverside Dr Ste 203Stuart, FL 34994-2579
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 8, 2016
Last NPPES UpdateOctober 17, 20253 updates tracked since enumeration
NPPES CertifiedOctober 17, 2025
NPI 1457715161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in ND · 16569 Licensed in MN · 67265 Licensed in FL · 152567
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
509 SE RIVERSIDE DR STE 203, Stuart, FL 34994

Other Names 1

Professional Name (2)Mahmoud Shehata M.d.

Secondary Practice Location 1

Location 1Sanford Medical Center, 5225 23rd Ave SFargo, ND 58104 · Phone (701) 417-2000

Accepted 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 Mahmoud 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 ID4284923624
PECOS Enrollment IDI20220824001863
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 9

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 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.
502 services281 patients
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.
390 services154 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
209 services130 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
164 services119 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
91 services61 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
91 services89 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers31 claims1,590 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,800 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims2,160 services$0.91 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers26 claims26 services$18.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers39 claims39 services$12.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Nephrology)
509 SE RIVERSIDE DR STE 203
STUART, FL 34994
Physician Assistant
509 SE RIVERSIDE DR STE 203
STUART, FL 34994
Radiology (Vascular & Interventional Radiology)
509 SE RIVERSIDE DR STE 203
STUART, FL 34994
Nurse Practitioner (Family)
509 SE RIVERSIDE DR STE 203
STUART, FL 34994
Internal Medicine (Nephrology)
509 SE RIVERSIDE DR STE 203
STUART, FL 34994
Nurse Practitioner (Family)
509 SE RIVERSIDE DR STE 203
STUART, FL 34994

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 Mahmoud's NPI number?

The NPI number for Mahmoud Mahmoud is 1457715161. It was assigned to this individual provider in the NPPES registry on April 8, 2016. The provider is also known as Mahmoud Shehata M.D..

Where is Mahmoud Mahmoud located?

Mahmoud Mahmoud practices at 509 SE Riverside Dr Ste 203, Stuart, FL 34994. The listed phone number is (772) 223-5945.

What is Mahmoud Mahmoud's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mahmoud Mahmoud enrolled in Medicare?

Yes. Mahmoud Mahmoud 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 Mahmoud accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross Blue Shield of North Dakota and 4 other insurers list Mahmoud Mahmoud 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 Mahmoud affiliated with any hospitals?

According to CMS data, Mahmoud Mahmoud is affiliated with Cleveland Clinic Martin North Hospital.

When was this NPI record last updated?

The NPPES record for Mahmoud Mahmoud was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.