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

Q: 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..

Q: What is Mahmoud Mahmoud's specialty?

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

Q: 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 12 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 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: October 25, 2026.

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

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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

Phone(772) 223-5945

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Mahmoud Mahmoud reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Martin Memorial Medical Center Inc

0.1 mi

General Acute Care Hospital

200 SE HOSPITAL AVE
Stuart, FL 34994

Reassigned Medicare billing, Florida enrollment
602 clinicians in this Medicare group

NPI 1194790055 (772) 287-5200

Sanford Health Network North

1,563 mi

Rural Health

401 12TH ST N
Wheaton, MN 56296

Reassigned Medicare billing, Minnesota enrollment
219 clinicians in this Medicare group

NPI 1245524669 (320) 563-8971

Sanford Medical Center Fargo

1,591 mi

Rural Health

211 E MILL ST
Pelican Rapids, MN 56572

Reassigned Medicare billing, Minnesota and North Dakota enrollments
Also billed through NPI 1073520003 (North Dakota)
376 clinicians in this Medicare group

NPI 1114953627 (218) 863-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 2

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

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100105

Location1000 36th StVero Beach, FL 32960 · Indian River 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

Quality

75.75

Promoting Interoperability

100

Improvement Activities

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.

ANIS Y AKRAWI M.D.

Internal Medicine (Nephrology)