IJAZ MAHMOOD
NPI 1689489049
Nurse Practitioner - Family in Vancouver, WA

Active since February 11, 2025PECOS EnrolledAccepts Medicare Assignment
13711 NE 100TH ST, VANCOUVER, WA 98682(360) 953-0266 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1689489049
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameIJAZ MAHMOOD
Location Address13711 NE 100TH STVancouver, WA 98682-2884
Mailing Address13711 Ne 100th StVancouver, WA 98682-2884 · (360) 953-0266
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 11, 2025
NPPES CertifiedFebruary 11, 2025
NPI 1689489049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WA · AP61657288
13711 NE 100TH ST, Vancouver, WA 98682

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

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.

PECOS PAC ID8921524885
PECOS Enrollment IDI20250424000664, I20260109002051
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.

Hospital Affiliations CMS Care Compare 2

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

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500050
Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County
Emergency services Birthing friendly

Physician 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.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 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.

Is Ijaz Mahmood affiliated with any hospitals?

According to CMS data, Ijaz Mahmood is affiliated with Legacy Emanuel Medical Center and Peacehealth Southwest 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 17 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.