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SHOAIB MAHMOOD
NPI 1548611551
Hospitalist in Birmingham, AL

Active since June 30, 2016PECOS EnrolledAccepts Medicare Assignment
1717 6TH AVE S, BIRMINGHAM, AL 35233(800) 822-8816 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2025, Jun 25, 2024, Oct 25, 2022 and 4 more (7 updates tracked since 2016).

About Shoaib Mahmood NPPES

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

SHOAIB MAHMOOD (NPI 1548611551) is an individual hospitalist provider in Birmingham, Alabama, licensed in Alabama (38528) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1548611551
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSHOAIB MAHMOOD
Location Address1717 6TH AVE SBirmingham, AL 35233-1801
Mailing Address1717 6th Ave SBirmingham, AL 35233-1801
Phone(800) 822-8816
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 30, 2016
Last NPPES UpdateApril 8, 20257 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1548611551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AL · 38528
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1717 6TH AVE S, Birmingham, AL 35233
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Shoaib Mahmood 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 ID42508855
PECOS Enrollment IDI20190620002832
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 7

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.

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.
416 services222 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
103 services101 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.
39 services33 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.
29 services29 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.
22 services22 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.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%1,148 patients3/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 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 20

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

MELANIE MORRIS
Surgery
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
JESSICA CHA
Nurse Practitioner (Acute Care)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
JAMES WALKER
Radiology (Diagnostic Radiology)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
TONYA RICHARDS
Nurse Practitioner (Family)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
JOSEPH SMITH
Radiology (Diagnostic Radiology)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
STACY WADE
Anesthesiology
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
MRS. CHERYL ANDERSON LANE NP-BC
Nurse Practitioner (Adult Health)
1717 6TH AVE S, SPAIN REHAB CENTER RM 156
BIRMINGHAM, AL 35233
Jefferson County (205) 934-2747
TARAH WOODFIN
Nurse Practitioner (Acute Care)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816

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 Shoaib Mahmood's NPI number?

The NPI number for Shoaib Mahmood is 1548611551. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Shoaib Mahmood located?

Shoaib Mahmood practices at 1717 6th Ave S, Birmingham, AL 35233. The listed phone number is (800) 822-8816.

What is Shoaib Mahmood's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shoaib Mahmood enrolled in Medicare?

Yes. Shoaib 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 Shoaib Mahmood accept?

Health plans from Blue Cross and Blue Shield of Alabama list Shoaib 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.

When was this NPI record last updated?

The NPPES record for Shoaib Mahmood was last updated on April 8, 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.