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

RONDA SAMI MAHMOUD ANP
NPI 1982248894
Nurse Practitioner - Gerontology in Clifton, NJ

Active since November 04, 2019PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
1414 MAIN AVE, CLIFTON, NJ 07011(973) 253-6000 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2026, Nov 4, 2019 (2 updates tracked since 2019).

About Ronda Sami Mahmoud Anp NPPES

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

RONDA SAMI MAHMOUD ANP (NPI 1982248894) is an individual gerontology provider in Clifton, New Jersey, licensed in New Jersey (26NJ00979300) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1982248894
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameRONDA SAMI MAHMOUDCredential: ANP
Location Address1414 MAIN AVEClifton, NJ 07011-2157
Mailing Address269 Chestnut St Apt 104Nutley, NJ 07110-1687 · (973) 765-7487
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 4, 2019
Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1982248894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NJ · 26NJ00979300
1414 MAIN AVE, Clifton, NJ 07011

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ronda Sami Mahmoud Anp 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 ID8921422015
PECOS Enrollment IDI20200722001682
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

2

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

Primary Care
1414 MAIN AVE, SUITE B
Clifton, NJ 07011
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

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.

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.
57 services32 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
26 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 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.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07011 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Internal Medicine
1414 MAIN AVE
CLIFTON, NJ 07011
Physician Assistant
1414 MAIN AVE
CLIFTON, NJ 07011
Psychiatry & Neurology (Psychiatry)
1414 MAIN AVE
CLIFTON, NJ 07011
Nurse Practitioner (Adult Health)
1414 MAIN AVE
CLIFTON, NJ 07011
Pharmacy (Community/Retail Pharmacy)
1414 MAIN AVE
CLIFTON, NJ 07011
Internal Medicine
1414 MAIN AVE
CLIFTON, NJ 07011
Pharmacist
1414 MAIN AVE
CLIFTON, NJ 07011
Clinic/Center (Primary Care)
1414 MAIN AVE, SUITE B
CLIFTON, NJ 07011

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 Ronda Mahmoud's NPI number?

The NPI number for Ronda Mahmoud is 1982248894. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Where is Ronda Mahmoud located?

Ronda Mahmoud practices at 1414 Main Ave, Clifton, NJ 07011. The listed phone number is (973) 253-6000.

What is Ronda Mahmoud's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Ronda Mahmoud enrolled in Medicare?

Yes. Ronda Mahmoud 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.

Which organizations bill Medicare for Ronda Mahmoud's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronda Mahmoud reassigns Medicare benefits to 2 organizations: Internal Medicine And Geriatrics Practice, Inc (Clifton, NJ) and Barnabas Health Medical Group PC (Elizabeth, NJ). 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 Ronda Mahmoud's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronda Mahmoud accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ronda Mahmoud 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.

Is Ronda Mahmoud affiliated with any hospitals?

According to CMS data, Ronda Mahmoud is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Ronda Mahmoud was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.