Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790777050 Individual Practitioner Male Practitioner

Dr. Fayyaz Mahmood , MD

Internal Medicine • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Dr. Fayyaz Mahmood, MD is a registered healthcare professional specializing in Internal Medicine in Gresham, OR. Practice services are available at 24988 SE STARK ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, destruction of precancer skin growth, 2-14 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24988 Se Stark St
Ste 300

Gresham, OR 970308322

Telephone 5036745818
Fax 5036746709
Associated Practice Facility / Clinic
🏢 Mth Clinic Pc Facility NPI 1558354522

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.8 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
38 Specialists

Practicing in Gresham, OR (2185 Statewide)

Telehealth Adoption Rate
18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
219 63 $210.00 $130.95
99213 Established patient office or other outpatient visit, typically 15 minutes
130 50 $150.46 $86.79
36415 Insertion of needle into vein for collection of blood sample
85 61 $26.00 $2.93
17003 Destruction of precancer skin growth, 2-14 growths
71 11 $30.70 $7.24
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose
39 39 $40.00 $39.59
17000 Destruction of skin growth
14 11 $160.00 $70.57

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OR MD16510

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
010020 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Kathryn Huyssoon , MD

Internal Medicine

NPI 1023000387

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2014

Registered at 24988 SE STARK ST, STE 300, GRESHAM, OR 970308322 (Tel: 5036745818)

📍
Updated Business Mailing Address November 17, 2014

Registered at 24988 SE STARK ST, STE 300, GRESHAM, OR 970308322 (Tel: 5036745818)

👤
Provider Name / Credentials Updated November 17, 2014

Recorded as FAYYAZ MAHMOOD, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2014

Internal Medicine (License #MD16510 in OR)

🟢
Initial NPI Registration & Enumeration August 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790777050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2005
Last Update: November 17, 2014
Sole Proprietor: No

Mailing Address

24988 Se Stark St, Ste 300

Gresham, OR 970308322

Phone: 5036745818

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.