MAHMOUD AMJAD ALNSOUR (DO) – Emergency Medicine Physician, NPI 1467193003

MAHMOUD AMJAD ALNSOUR (DO) is a healthcare provider. based in Lawton, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 8050 (OK). The NPI Number for MAHMOUD AMJAD ALNSOUR (DO) is 1467193003

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MAHMOUD AMJAD ALNSOUR (DO)
NPI
1467193003
Phone
Not provided
Address
3401 W GORE BLVD
Enumeration Date
6 April 2022
Last Update Date
29 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5805314700
Graduation Year
2022 (4 years ago)
PAC ID
9638532013
Group Practice PAC ID
2769824937
Professional Enrollment ID
I20230927002235
Address ID
OK735059635LA5602XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

Provider Addresses for MAHMOUD AMJAD ALNSOUR (DO)

  • 3401 W GORE BLVD

    LAWTON, OK 735056332

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: UCB, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
UCB, Inc.$22
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: 2025-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230927002235IEmergency MedicineOKTBD
I20251029004531IEmergency MedicineTXTBD

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 73505)

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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: 2769824937View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineOK
Emergency MedicineTX
Family Practice, Emergency MedicineIA
Emergency MedicineOK
Emergency MedicineTX
Emergency MedicineOK
Emergency MedicineKY
Emergency MedicineVA
Family PracticeOK

Reviews

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Frequently asked questions

How do payers reference MAHMOUD AMJAD ALNSOUR (DO)?
For MAHMOUD AMJAD ALNSOUR (DO), use NPI 1467193003 as the unique 10-digit identifier.
Is there an active status for MAHMOUD AMJAD ALNSOUR (DO)?
For scheduling context, MAHMOUD AMJAD ALNSOUR (DO) is shown as active in the registry.
How would a patient describe MAHMOUD AMJAD ALNSOUR (DO)'s focus?
For MAHMOUD AMJAD ALNSOUR (DO), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MAHMOUD AMJAD ALNSOUR (DO) located near Lawton?
MAHMOUD AMJAD ALNSOUR (DO) currently maps to Lawton, Oklahoma in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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