MAHMUDA AKHTER ALAM M.D.
NPI 1568659985
Internal Medicine - Geriatric Medicine in Glendale, CA

Q: What is Mahmuda Alam's NPI number?

The NPI number for Mahmuda Alam is 1568659985. It was assigned to this individual provider in the NPPES registry on September 30, 2007.

Q: What is Mahmuda Alam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Mahmuda Alam was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 September 30, 2007PECOS Enrolled

715 N JACKSON ST, # B, GLENDALE, CA 91206(646) 244-2962 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mahmuda Akhter Alam M.d. NPPES

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

MAHMUDA AKHTER ALAM M.D. (NPI 1568659985) is an individual geriatric medicine provider in Glendale, California, licensed in California (A 95563) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568659985

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameMAHMUDA AKHTER ALAMCredential: M.D.

Location Address715 N JACKSON ST, # BGlendale, CA 91206-2015

Mailing Address715 N Jackson St, # BGlendale, CA 91206-2015 · (646) 244-2962

Phone(646) 244-2962

Sole ProprietorYes

Enumeration DateSeptember 30, 2007

Last NPPES UpdateDecember 7, 2021

NPPES CertifiedDecember 7, 2021

✔ NPI 1568659985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in CA · A 95563

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

715 N JACKSON ST, Glendale, CA 91206

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mahmuda Akhter Alam M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mahmuda Alam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

1.6 mi

Clinical Medical Laboratory

4580 ELECTRONICS PL
Los Angeles, CA 90039

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1346328853 (818) 502-5940

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91206 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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 Mahmuda Alam's NPI number?

The NPI number for Mahmuda Alam is 1568659985. It was assigned to this individual provider in the NPPES registry on September 30, 2007.

Where is Mahmuda Alam located?

Mahmuda Alam practices at 715 N Jackson St # B, Glendale, CA 91206. The listed phone number is (646) 244-2962.

What is Mahmuda Alam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Mahmuda Alam enrolled in Medicare?

Yes. Mahmuda Alam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mahmuda Alam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahmuda Alam reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mahmuda Alam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mahmuda Alam was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.