SYED KHURRAM MAHBOOB M.D
NPI 1770760944
Family Medicine in Woodbridge, VA
About Syed Khurram Mahboob M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SYED KHURRAM MAHBOOB M.D (NPI 1770760944) is an individual family medicine provider in Woodbridge, Virginia, licensed in Virginia (0101241509) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Novant Prince William Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Syed Khurram Mahboob M.d 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
2Medicare enrollment records show Syed Mahboob reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woodbridge, VA 22192
- Reassigned Medicare billing, Virginia enrollment
- 37 clinicians in this Medicare group
Glen Burnie, MD 21061
- Reassigned Medicare billing, District of Columbia enrollment
- 136 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Prince William Medical Center
Acute Care Hospitals · Manassas, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22192 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WOODBRIDGE, VA 22192
WOODBRIDGE, VA 22192
WOODBRIDGE, VA 22192
WOODBRIDGE, VA 22192
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 Syed Mahboob's NPI number?
The NPI number for Syed Mahboob is 1770760944. It was assigned to this individual provider in the NPPES registry on January 29, 2008.
Where is Syed Mahboob located?
Syed Mahboob practices at 4379 Ridgewood Center Dr Suite 102, Woodbridge, VA 22192. The listed phone number is (703) 680-7950.
What is Syed Mahboob's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Syed Mahboob enrolled in Medicare?
Yes. Syed Mahboob 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 Syed Mahboob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Syed Mahboob reassigns Medicare benefits to 2 organizations: Greater Prince William Area Community Health Center Inc (Woodbridge, VA) and Mdics Rehabilitative Services LLC (Glen Burnie, MD). 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 Syed Mahboob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Syed Mahboob affiliated with any hospitals?
According to CMS data, Syed Mahboob is affiliated with Novant Prince William Medical Center.
When was this NPI record last updated?
The NPPES record for Syed Mahboob was last updated on January 27, 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.
# Syed Khurram Mahboob, M.D · NPI 1770760944
Family Medicine physician in Woodbridge, Virginia. Individual provider, active in the CMS NPPES registry since January 29, 2008.
## Identity
- **NPI:** 1770760944 (Entity type: Individual)
- **Enumerated:** January 29, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0101241509 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4379 RIDGEWOOD CENTER DR, SUITE 102, Woodbridge, VA 22192-8322
- **Phone:** (703) 680-7950 · **Fax:** (703) 680-7953
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Greater Prince William Area Community Health Center Inc (NPI 1366591562, Woodbridge, VA); Mdics Rehabilitative Services LLC (NPI 1124313309, Glen Burnie, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** January 27, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1770760944) · Data from the CMS NPPES public registry.