DR. EHTISHAM MAHMUD M.D. NPI 1730112335

NPI Information

  • NPI: 1730112335
  • Provider Name: DR. EHTISHAM MAHMUD, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 W ARBOR DR
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (858) 657-8530

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NPI Details

DR. Ehtisham Mahmud, M.D. is an interventional cardiology internal medicine in San Diego, CA with 36 years of experience. The provider is 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. DR. Ehtisham Mahmud, M.D. NPI is 1730112335. 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:

200 W ARBOR DR
SAN DIEGO, CA
ZIP 92103
Phone: (858) 657-8530
Fax: (858) 657-8021

The NPI 1730112335 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.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel (HCPCS:92978)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Replacement of aortic valve through the skin and femoral artery (HCPCS:33361)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel (HCPCS:92979)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 7/8/2006 and was last updated on 5/23/2018.

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
1207RC0000XInternal MedicineCardiovascular DiseaseG75925CALIFORNIANo
2207RI0011XInternal MedicineInterventional CardiologyG75925CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G759250MEDICAIDCALIFORNIA

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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