TAMARA MAHMOUD (DO) – Obstetrics & Gynecology Physician, NPI 1023690187

TAMARA MAHMOUD (DO) is a healthcare provider. based in Columbus, Ohio. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 34.017759 (OH). The NPI Number for TAMARA MAHMOUD (DO) is 1023690187

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA MAHMOUD (DO)
NPI
1023690187
Phone
(614) 293-3069
Address
700 ACKERMAN RD STE 2120
Enumeration Date
27 April 2021
Last Update Date
7 April 2026

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6142933069
Graduation Year
2021 (5 years ago)
PAC ID
7810416864
Group Practice PAC ID
5092613257
Professional Enrollment ID
I20250522002703
Address ID
OH432301757GA920XXRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,818 OBSTETRICS/GYNECOLOGY in OH

Provider Addresses for TAMARA MAHMOUD (DO)

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-3069

    Fax: (614) 293-9684

    Type: Mailing

  • 920 N HAMILTON RD STE 200

    GAHANNA, OH 432301757

    Phone: (614) 293-3069

    Fax: (614) 293-9684

    Type: Location

  • 2600 Sixth St SW

    Canton, OH 447101702

    Phone: (330) 363-4922

    Fax: (330) 363-4914

    Type: Location

  • 2600 SIXTH ST SW

    CANTON, OH 447101702

    Phone: (330) 363-4922

    Fax: (330) 363-4914

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-05-22

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
I20250522002703IObstetrics/GynecologyOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43202)

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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: 5092613257View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOH
Gynecological Oncology, Obstetrics/GynecologyOH
Gynecological OncologyOH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Certified Nurse Midwife (Cnm)OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-PA

Reviews

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Frequently asked questions

Is TAMARA MAHMOUD (DO) listed with a National Provider Identifier?
Yes — TAMARA MAHMOUD (DO) has NPI 1023690187 on file in the registry.
Is there an active status for TAMARA MAHMOUD (DO)?
For scheduling context, TAMARA MAHMOUD (DO) is shown as active in the registry.
How would a patient describe TAMARA MAHMOUD (DO)'s focus?
For TAMARA MAHMOUD (DO), the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is TAMARA MAHMOUD (DO) registered?
Use Columbus, Ohio as the headline location for TAMARA MAHMOUD (DO) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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