OMAR MAHMOUD M.D. NPI 1467784439

NPI Information

  • NPI: 1467784439
  • Provider Name: OMAR MAHMOUD, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1301 PALM AVE STE 101
    JACKSONVILLE, FL
    ZIP 32207
  • Phone: (904) 202-7300

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NPI Details

Omar Mahmoud, M.D. is a radiation oncology radiology in Jacksonville, FL with 24 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Omar Mahmoud, M.D. NPI is 1467784439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1301 PALM AVE STE 101
JACKSONVILLE, FL
ZIP 32207-432
Phone: (904) 202-7300
Fax: (904) 202-2754

The NPI 1467784439 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Complex radiation therapy planning (HCPCS:77263)
  • High precision radiation therapy planning (HCPCS:77301)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Special radiation treatment (HCPCS:77470)

The enumeration date for this NPI number is 2/2/2010 and was last updated on 4/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyME114209FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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