MANDANA MAHMOUDI
NPI 1942527148
Internal Medicine - Pulmonary Disease in New York, NY

Active since April 27, 2010PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
555 MADISON AVE FL 4, NEW YORK, NY 10022(646) 754-2000(646) 754-9690 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Dec 1, 2021, Jul 23, 2021 and 1 more (4 updates tracked since 2021).

About Mandana Mahmoudi NPPES

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

MANDANA MAHMOUDI (NPI 1942527148) is an individual pulmonary disease provider in New York, New York, licensed in New York (270424) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1942527148
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameMANDANA MAHMOUDI
Location Address555 MADISON AVE FL 4New York, NY 10022-3337
Mailing Address462 1st Ave, 7n28New York, NY 10016-9196 · (212) 263-6479
Fax(646) 754-9690
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2012
Enumeration DateApril 27, 2010
Last NPPES UpdateMay 18, 20264 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1942527148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 270424
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 270424 (NY)
555 MADISON AVE FL 4, New York, NY 10022

Secondary Practice Location 1

Location 1462 1st Ave, 7N28New York, NY 10016-9196 · Phone (212) 263-6479

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

Mandana Mahmoudi 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 ID9830484880
PECOS Enrollment IDI20160830000674
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.

Areas of Expertise CMS Part B claims 12

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.

Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
224 services196 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
138 services138 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
65 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
44 services31 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers127 claims127 services$34.35 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers89 claims89 services$76.32 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers89 claims257 services$28.15 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers77 claims365 services$15.42 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers40 claims195 services$12.58 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers134 claims134 services$45.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Rheumatology)
555 MADISON AVE FL 4
NEW YORK, NY 10022
Nurse Practitioner (Adult Health)
555 MADISON AVE FL 4
NEW YORK, NY 10022
Nurse Practitioner (Family)
555 MADISON AVE FL 4
NEW YORK, NY 10022
Optometrist
555 MADISON AVE FL 4
NEW YORK, NY 10022

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 Mandana Mahmoudi's NPI number?

The NPI number for Mandana Mahmoudi is 1942527148. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Where is Mandana Mahmoudi located?

Mandana Mahmoudi practices at 555 Madison Ave Fl 4, New York, NY 10022. The listed phone number is (646) 754-2000.

What is Mandana Mahmoudi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mandana Mahmoudi enrolled in Medicare?

Yes. Mandana Mahmoudi 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 Mandana Mahmoudi affiliated with any hospitals?

According to CMS data, Mandana Mahmoudi is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Mandana Mahmoudi was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.