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

Q: 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.

Q: What is Mahmoud Shadi's specialty?

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

Q: 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 3 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.

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: November 01, 2026.

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

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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 and is a graduate of Other (2018).

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

Medical School CMSOtherGraduated 2018

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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mahmoud Shadi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234476367

PECOS Enrollment IDI20260825004229

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.

Medicare Billing Reassignments

Medicare enrollment records show Mahmoud Shadi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Hospital Ardmore, Inc

0.1 mi

Cardiovascular Disease

1101 14TH AVE NW
Ardmore, OK 73401

Reassigned Medicare billing, Oklahoma enrollment
41 clinicians in this Medicare group

NPI 1578906657 (580) 223-5400

Mercy Clinic Oklahoma Communities

101 mi

Family Medicine

4300 W MEMORIAL RD
Oklahoma City, OK 73120

Reassigned Medicare billing, Oklahoma enrollment
975 clinicians in this Medicare group

NPI 1386874550 (405) 752-3333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Mahmoud Shadi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahmoud Shadi reassigns Medicare benefits to 2 organizations: Mercy Hospital Ardmore, Inc (Ardmore, OK) and Mercy Clinic Oklahoma Communities (Oklahoma City, OK). 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 Mahmoud Shadi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mahmoud Shadi accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Mahmoud Shadi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 3 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.