DR. SAMAR MAHMOOD (MD) – Psychiatry Physician, NPI 1669545943

DR. SAMAR MAHMOOD (MD) is a healthcare provider. based in Naperville, Illinois. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 036110009 (IL). The NPI Number for DR. SAMAR MAHMOOD (MD) is 1669545943

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMAR MAHMOOD (MD)
NPI
1669545943
Phone
(630) 416-8289
Address
1560 Wall St
Enumeration Date
16 November 2006
Last Update Date
12 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157564875
Graduation Year
1991 (35 years ago)
PAC ID
8325060676
Group Practice PAC ID
9436451655
Professional Enrollment ID
I20051229000642
Address ID
IL601159637DE12XXXDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,367 PSYCHIATRY in IL

Provider Addresses for DR. SAMAR MAHMOOD (MD)

  • 1560 Wall St

    Suite 304

    Naperville, IL 605631123

    Phone: (630) 416-8289

    Fax: (630) 416-8306

    Type: Location

  • 12 HEALH SERVICES DRIVE

    DEKALB, IL 60115

    Phone: (815) 756-4875

    Fax: (815) 787-9582

    Type: Location

  • Northwestern Medicine Ben Gordon Center, 12, Health Services Drive, Edgebrook Mobile Home Park, Sycamore, DeKalb County, Illinois, 60115, United States

    DEKALB, IL 601159637

    Phone: (815) 756-4875

    Fax: (815) 787-9582

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 97 Open Payments records for all available years, with a total value of $2,116.

Total Amount is formed as General ($2,116) + Research ($0) + Ownership ($0) = $2,116.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($498).

Total Amount

$2,116

General + Research + Ownership

Payments

97

Total payment records

General Amount

$2,116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051229000642IPsychiatryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99443Telephone medical discussion with physician, 21-30 minutes26272$0
99214Established patient office or other outpatient visit, 30-39 minutes239130$0
View full utilization report →

Insurance plans in this area (ZIP 60563)

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Provider's Procedures

DR. SAMAR MAHMOOD (MD) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYIL90792Psychiatric diagnostic evaluation with medical services3631

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436451655View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Nurse PractitionerIL
Mental Health CounselorIL
Clinical Social WorkerIL
-IL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

How is DR. SAMAR MAHMOOD (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. SAMAR MAHMOOD (MD) with NPI 1669545943.
Does CMS list DR. SAMAR MAHMOOD (MD) as active?
Yes — DR. SAMAR MAHMOOD (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. SAMAR MAHMOOD (MD)?
For research purposes, treat DR. SAMAR MAHMOOD (MD) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SAMAR MAHMOOD (MD) on a map?
Expect Naperville, Illinois as a primary anchor for DR. SAMAR MAHMOOD (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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