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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.

MAHMOUD SHADI M.D.
NPI 1972094878
Internal Medicine - Interventional Cardiology in Ardmore, OK

Active since May 25, 2018PECOS Enrolled
731 12TH AVE NW STE 103, ARDMORE, OK 73401(580) 220-6180 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2026, Jan 16, 2019, May 25, 2018 (3 updates tracked since 2018).

About Mahmoud Shadi M.d. NPPES

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

MAHMOUD SHADI M.D. (NPI 1972094878) is an individual interventional cardiology provider in Ardmore, Oklahoma, licensed in Oklahoma (50321) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972094878
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameMAHMOUD SHADICredential: M.D.
Location Address731 12TH AVE NW STE 103Ardmore, OK 73401-5762
Mailing Address5961 W Parker Rd Apt 1107Plano, TX 75093-7715
Phone(580) 220-6180
Sole ProprietorYes
Enumeration DateMay 25, 2018
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1972094878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in OK · 50321
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
731 12TH AVE NW STE 103, Ardmore, OK 73401
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mahmoud Shadi M.d. 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 73401 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 2

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

HUNTER MCCALL RHODES M.D.
Internal Medicine (Cardiovascular Disease)
731 12TH AVE NW STE 103
ARDMORE, OK 73401
Carter County (580) 220-6180
DR. ROBERT ALAN BENSON M.D.
Internal Medicine (Cardiovascular Disease)
731 12TH AVE NW STE 103
ARDMORE, OK 73401
Carter County (580) 220-6180

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 Mahmoud Shadi's NPI number?

The NPI number for Mahmoud Shadi is 1972094878. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Where is Mahmoud Shadi located?

Mahmoud Shadi practices at 731 12th Ave NW Ste 103, Ardmore, OK 73401. The listed phone number is (580) 220-6180.

What is Mahmoud Shadi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Mahmoud Shadi enrolled in Medicare?

Yes. Mahmoud Shadi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mahmoud Shadi was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 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.