IJAZ MAHMOOD
NPI 1689489049
Nurse Practitioner - Family in Vancouver, WA
About Ijaz Mahmood NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IJAZ MAHMOOD (NPI 1689489049) is an individual family provider in Vancouver, Washington, licensed in Washington (AP61657288) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ijaz 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ijaz Mahmood reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vancouver, WA 98686
- Reassigned Medicare billing, Washington enrollment
- 10 clinicians in this Medicare group
Bellevue, WA 98004
- Reassigned Medicare billing, Oregon enrollment
- 46 clinicians in this Medicare group
Johnstown, CO 80534
- Reassigned Medicare billing, Oregon enrollment
- 57 clinicians in this Medicare group
Peachtree City, GA 30269
- Reassigned Medicare billing, Oregon enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Legacy Emanuel Medical Center
Acute Care Hospitals · Portland, ORPeacehealth Southwest Medical Center
Acute Care Hospitals · Vancouver, WALegacy Salmon Creek Medical Center
Acute Care Hospitals · Vancouver, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98682 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ijaz Mahmood's NPI number?
The NPI number for Ijaz Mahmood is 1689489049. It was assigned to this individual provider in the NPPES registry on February 11, 2025.
Where is Ijaz Mahmood located?
Ijaz Mahmood practices at 13711 NE 100th St, Vancouver, WA 98682. The listed phone number is (360) 953-0266.
What is Ijaz Mahmood's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ijaz Mahmood enrolled in Medicare?
Yes. Ijaz 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.
Which organizations bill Medicare for Ijaz Mahmood's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ijaz Mahmood reassigns Medicare benefits to 4 organizations: Impact Physician Group, Washington LLC (Vancouver, WA), Daiya Healthcare PLLC (Bellevue, WA), Vibra Physicians LLC (Johnstown, CO) and Impact Physician Group, LLC (Peachtree City, GA). 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 Ijaz Mahmood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ijaz Mahmood accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Ijaz 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 Ijaz Mahmood affiliated with any hospitals?
According to CMS data, Ijaz Mahmood is affiliated with Legacy Emanuel Medical Center, Peacehealth Southwest Medical Center and Legacy Salmon Creek Medical Center.
When was this NPI record last updated?
The NPPES record for Ijaz Mahmood was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Ijaz Mahmood · NPI 1689489049
Family physician in Vancouver, Washington. Individual provider, active in the CMS NPPES registry since February 11, 2025.
## Identity
- **NPI:** 1689489049 (Entity type: Individual)
- **Enumerated:** February 11, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP61657288 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13711 NE 100TH ST, Vancouver, WA 98682-2884
- **Phone:** (360) 953-0266
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Impact Physician Group, Washington LLC (NPI 1457008971, Vancouver, WA); Daiya Healthcare PLLC (NPI 1477027381, Bellevue, WA); Vibra Physicians LLC (NPI 1659705424, Johnstown, CO); Impact Physician Group, LLC (NPI 1114428612, Peachtree City, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 11, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1689489049) · Data from the CMS NPPES public registry.