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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MUDDASSAR MAHBOOB MD
NPI 1790417855
Internal Medicine in Columbia, MO

Active since June 28, 2022PECOS Enrolled
1600 E BROADWAY, COLUMBIA, MO 65201(573) 815-8000 Get Directions Write a Review

NPPES record last updated: June 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Muddassar Mahboob Md NPPES

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

DR. MUDDASSAR MAHBOOB MD (NPI 1790417855) is an individual internal medicine provider in Columbia, Missouri, licensed in Missouri (2026002228) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1790417855
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MUDDASSAR MAHBOOBCredential: MD
Location Address1600 E BROADWAYColumbia, MO 65201-5897
Mailing Address1600 E BroadwayColumbia, MO 65201-5897 · (573) 815-8000
Phone(573) 815-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 28, 2022
Last NPPES UpdateJune 20, 2026
NPPES CertifiedJune 20, 2026
✔ NPI 1790417855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MO · 2026002228✔ Licensed in MO · 2022024043✔ Licensed in MO · 2024023940
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1600 E BROADWAY, Columbia, MO 65201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Muddassar Mahboob Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638553753
PECOS Enrollment IDI20260421003477
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

DIANA L ERION FNP-BC
Nurse Practitioner (Family)
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 875-8838
THOMAS WESLEY MEYER DO
Anesthesiology
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-6262
EMILY MOORE CRT
Respiratory Therapist, Certified
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-8000
EMMA L MALLORY NP-C
Nurse Practitioner
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-2700
WILLIAM LOGAN BRADLEY MS, RDN, LD
Dietitian, Registered
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-3189
MICHAEL HAUAN MD
Emergency Medicine
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-3573
REBEKAH BAIL
Nurse Practitioner (Family)
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-8000
SARAH RACHAEL KIRCHOFF
Nurse Practitioner (Family)
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-3501

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 Muddassar Mahboob's NPI number?

The NPI number for Muddassar Mahboob is 1790417855. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Muddassar Mahboob located?

Muddassar Mahboob practices at 1600 E Broadway, Columbia, MO 65201. The listed phone number is (573) 815-8000.

What is Muddassar Mahboob's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Muddassar Mahboob enrolled in Medicare?

Yes. Muddassar Mahboob is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Muddassar Mahboob was last updated on June 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.