DR. MUSHTAQ MAHMOOD MD.
NPI 1497733075
Internal Medicine - Adolescent Medicine in Elyria, OH

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
10325 DEWHURST RD, OHIO MEDICAL GROUP, ELYRIA, OH 44035(440) 414-9260(216) 201-5581 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2025, Jan 7, 2021, Apr 6, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Mushtaq Mahmood Md. NPPES

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

DR. MUSHTAQ MAHMOOD MD. (NPI 1497733075) is an individual adolescent medicine provider in Elyria, Ohio, licensed in Ohio (57.016032) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1497733075
Entity TypeIndividualMale
Primary Taxonomy207RA0000X
Provider Legal NameDR. MUSHTAQ MAHMOODCredential: MD.
Location Address10325 DEWHURST RD, OHIO MEDICAL GROUPElyria, OH 44035-8403
Mailing Address10325 Dewhurst RdElyria, OH 44035-8403 · (440) 414-9260 · Fax (216) 201-5581
Fax(216) 201-5581
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJanuary 4, 2006
Last NPPES UpdateMay 5, 20255 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
NPI 1497733075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License Licensed in OH · 57.016032
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedHospitalistTaxonomy 208M00000X · License 57.016032 (OH)
10325 DEWHURST RD, Elyria, OH 44035

Other Names 1

Professional Name (2)Dr. Mushtaq Mahmood Md

Other Identifiers 1

Medicaid0067078OH

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

Dr. Mushtaq Mahmood 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 ID9032130554
PECOS Enrollment IDI20120820001195
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 17

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.
329 services177 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.
127 services59 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.
110 services69 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
87 services76 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
60 services60 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.
58 services48 patients

Hospital Affiliations CMS Care Compare 5

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360107
Location1400 West Main StreetBellevue, OH 44811 · Sandusky County
Birthing friendly

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360145
Location630 East River StreetElyria, OH 44035 · Lorain County

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims37 services$6.62 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims120 services$4.09 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims120 services$4.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers52 claims52 services$74.73 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers35 claims35 services$30.62 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.80 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 8

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

Podiatrist
10325 DEWHURST RD
ELYRIA, OH 44035
Internal Medicine
10325 DEWHURST RD
ELYRIA, OH 44035
Internal Medicine (Geriatric Medicine)
10325 DEWHURST RD
ELYRIA, OH 44035
Internal Medicine
10325 DEWHURST RD
ELYRIA, OH 44035
Podiatrist
10325 DEWHURST RD
ELYRIA, OH 44035
Family Medicine
10325 DEWHURST RD
ELYRIA, OH 44035
Family Medicine
10325 DEWHURST RD
ELYRIA, OH 44035
Family Medicine
10325 DEWHURST RD
ELYRIA, OH 44035

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 Mushtaq Mahmood's NPI number?

The NPI number for Mushtaq Mahmood is 1497733075. It was assigned to this individual provider in the NPPES registry on January 4, 2006. The provider is also known as Dr. Mushtaq Mahmood MD.

Where is Mushtaq Mahmood located?

Mushtaq Mahmood practices at 10325 Dewhurst Rd Ohio Medical Group, Elyria, OH 44035. The listed phone number is (440) 414-9260.

What is Mushtaq Mahmood's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Mushtaq Mahmood enrolled in Medicare?

Yes. Mushtaq Mahmood 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 Mushtaq Mahmood accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Mushtaq Mahmood 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 Mushtaq Mahmood affiliated with any hospitals?

According to CMS data, Mushtaq Mahmood is affiliated with Firelands Regional Medical Center, Bellevue Hospital, Uh Cleveland Medical Center, University Hospitals - Elyria Medical Center and Mercy Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mushtaq Mahmood was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.