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DR. FAYYAZ MAHMOOD MD
NPI 1790777050
Internal Medicine in Gresham, OR

Active since August 22, 2005PECOS Enrolled
24988 SE STARK ST, STE 300, GRESHAM, OR 97030(503) 674-5818(503) 674-6709 Get Directions Write a Review

NPPES record last updated: November 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fayyaz Mahmood Md NPPES

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

DR. FAYYAZ MAHMOOD MD (NPI 1790777050) is an individual internal medicine provider in Gresham, Oregon, licensed in Oregon (MD16510) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790777050
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. FAYYAZ MAHMOODCredential: MD
Location Address24988 SE STARK ST, STE 300Gresham, OR 97030-8322
Mailing Address24988 Se Stark St, Ste 300Gresham, OR 97030-8322 · (503) 674-5818 · Fax (503) 674-6709
Phone(503) 674-5818
Fax(503) 674-6709
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateNovember 17, 2014
✔ NPI 1790777050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD16510
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.
24988 SE STARK ST, Gresham, OR 97030
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Other Identifiers 3

Medicare UPINE57942
Medicare ID-Type Unspecified104630
Medicaid010020OR

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. Fayyaz Mahmood Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 97030 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHRYN L HUYSSOON MD
Internal Medicine
24988 SE STARK ST, STE 300
GRESHAM, OR 97030
Multnomah County (503) 674-5818
DR. GORDON JOHNSON MD
Hospitalist
24988 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 331-2376
DR. MICHELLE L JOHN M.D.
Internal Medicine
24988 SE STARK ST, SUITE 220
GRESHAM, OR 97030
Multnomah County (503) 674-1580
DR. TED HUANG M.D.
Internal Medicine (Hematology & Oncology)
24988 SE STARK ST, SUITE 140
GRESHAM, OR 97030
Multnomah County (503) 661-1112
MTH CLINIC PC
Internal Medicine
24988 SE STARK ST, STE 300
GRESHAM, OR 97030
Multnomah County (503) 674-5818
DR. MISCHELLE MCMILLAN MD
Internal Medicine
24988 SE STARK ST, #220
GRESHAM, OR 97030
Multnomah County (503) 674-1580
LOAN DUONG PA-C
Physician Assistant
24988 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 413-5702

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 Fayyaz Mahmood's NPI number?

The NPI number for Fayyaz Mahmood is 1790777050. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Fayyaz Mahmood located?

Fayyaz Mahmood practices at 24988 SE Stark St Ste 300, Gresham, OR 97030. The listed phone number is (503) 674-5818.

What is Fayyaz Mahmood's specialty?

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

Is Fayyaz Mahmood enrolled in Medicare?

Yes. Fayyaz Mahmood is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fayyaz Mahmood was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.