1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Obstetrics Gynecology
  6. NPI Profile

MOHAMAD MAHMOUD MD
NPI 1639203847
Obstetrics & Gynecology in Rochester, NY

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
100 KINGS HWY S, STE 1100, ROCHESTER, NY 14617(585) 922-8585(585) 922-1399 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mohamad Mahmoud Md NPPES

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

MOHAMAD MAHMOUD MD (NPI 1639203847) is an individual obstetrics & gynecology provider in Rochester, New York, licensed in New York (269464) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639203847
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMOHAMAD MAHMOUDCredential: MD
Location Address100 KINGS HWY S, STE 1100Rochester, NY 14617-5504
Mailing Address222 Alexander St, Ste 1100Rochester, NY 14607-4039 · (585) 922-8585 · Fax (585) 922-8555
Phone(585) 922-8585
Fax(585) 922-1399
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 16, 2007
Last NPPES UpdateNovember 18, 2019
✔ NPI 1639203847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NY · 269464✔ Licensed in IL · 036117782
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
100 KINGS HWY S, Rochester, NY 14617
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11555 Long Pond RdRochester, NY 14626-4122 · Phone (585) 368-4020 · Fax (585) 368-4019
Location 22 Coulter Rd Ste 260Clifton Springs, NY 14432-1122 · Phone (315) 462-1125 · Fax (315) 462-1494

Other Identifiers 2

Other036117782IL · Il License
Medicaid1639203847MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. 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

Mohamad Mahmoud 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 ID345340774
PECOS Enrollment IDI20140807000896
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

5

Medicare enrollment records show Mohamad Mahmoud reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Unity Hospital Of Rochester
Same address
General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1457395766 (585) 922-1900
Western New York Medical Practice PC
0.8 mi
Neurological Surgery
1445 PORTLAND AVE, SUITE 304
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 1,030 clinicians in this Medicare group
NPI 1780049957 (585) 342-7170
Rochester General Hospital
0.9 mi
General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1063531929 (585) 922-4000
Clifton Springs Sanitarium Co
28 mi
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
NPI 1366505463 (315) 462-9561
Florida Hospital Physician Group Inc
1,078 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766

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 2

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.
20 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14617 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

PAUL JOHN PRICE
Registered Nurse (Case Management)
100 KINGS HWY S
ROCHESTER, NY 14617
Monroe County (585) 922-4800
JESSICA L NONKES PT, OCS
Physical Therapist
100 KINGS HWY S, SUITE 1000
ROCHESTER, NY 14617
Monroe County (585) 467-1070
JOSEPH ANDREW COLLINS RN
Registered Nurse
100 KINGS HWY S
IRONDEQUOIT, NY 14617
Monroe County (585) 260-9409
MRS. MARY T RICHARDS NP
Nurse Practitioner (Family)
100 KINGS HWY S
ROCHESTER, NY 14617
Monroe County (585) 922-8353
KATHRYN DORWARD
Pharmacist
100 KINGS HWY S, SUITE 2500
ROCHESTER, NY 14617
Monroe County (585) 922-1562
MRS. PAMELA TROMPETER LMSW
Social Worker
100 KINGS HWY S
ROCHESTER, NY 14617
Monroe County (585) 448-9504
CARLY MESSENGER PHARMD
Pharmacist
100 KINGS HWY S
ROCHESTER, NY 14617
Monroe County (585) 922-1525
DARLENE ALEXANDRA NAVAS
Student in an Organized Health Care Education/Training Program
100 KINGS HWY S
ROCHESTER, NY 14617
Monroe County (585) 922-1083

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 Mohamad Mahmoud's NPI number?

The NPI number for Mohamad Mahmoud is 1639203847. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Mohamad Mahmoud located?

Mohamad Mahmoud practices at 100 Kings Hwy S Ste 1100, Rochester, NY 14617. The listed phone number is (585) 922-8585.

What is Mohamad Mahmoud's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mohamad Mahmoud enrolled in Medicare?

Yes. Mohamad 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.

Which organizations bill Medicare for Mohamad Mahmoud's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamad Mahmoud reassigns Medicare benefits to 5 organizations: The Unity Hospital Of Rochester (Rochester, NY), Western New York Medical Practice PC (Rochester, NY), Rochester General Hospital (Rochester, NY), Clifton Springs Sanitarium Co (Clifton Springs, NY) and Florida Hospital Physician Group Inc (Tampa, FL). Each 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 Mohamad Mahmoud's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamad Mahmoud accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Mohamad 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 Mohamad Mahmoud affiliated with any hospitals?

According to CMS data, Mohamad Mahmoud is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Mohamad Mahmoud was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.