MAHMOUD MOWAFY (M.D.) – Internal Medicine Physician, NPI 1003369042

MAHMOUD MOWAFY (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD16555 (RI). The NPI Number for MAHMOUD MOWAFY (M.D.) is 1003369042

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MAHMOUD MOWAFY (M.D.)
NPI
1003369042
Phone
(401) 793-4489
Address
164 Summit Ave
Enumeration Date
26 July 2016
Last Update Date
20 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017934102
Graduation Year
2013 (13 years ago)
PAC ID
3375838352
Group Practice PAC ID
2567455082
Professional Enrollment ID
I20190514002107
Address ID
RI029062853PR164XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,155 INTERNAL MEDICINE in RI

Provider Addresses for MAHMOUD MOWAFY (M.D.)

  • 164 Summit Ave

    Providence, RI 029062853

    Phone: (401) 793-4489

    Fax: (401) 793-4047

    Type: Location

  • Memorial Hospital of Rhode Island, 111, Brewster Street, Pawtucket, Providence County, Rhode Island, 02860, United States

    PAWTUCKET, RI 028604474

    Phone: (401) 729-2258

    Fax: (401) 729-3343

    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: 2019-05-14

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
I20190514002107IInternal MedicineRITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10960$0
99238Hospital discharge day management, 30 minutes or less3837$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3434$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2116$0
View full utilization report →

Insurance plans in this area (ZIP 02906)

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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: 2567455082View full group profile

Reviews

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Frequently asked questions

What is the registry number for MAHMOUD MOWAFY (M.D.)?
The registry entry for MAHMOUD MOWAFY (M.D.) shows NPI 1003369042.
Should I treat MAHMOUD MOWAFY (M.D.) as an active provider?
Patients and plans typically see MAHMOUD MOWAFY (M.D.) as active in the national extract.
How should patients interpret MAHMOUD MOWAFY (M.D.)'s specialty?
The extract shows Internal Medicine Physician for MAHMOUD MOWAFY (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to MAHMOUD MOWAFY (M.D.)?
The directory associates MAHMOUD MOWAFY (M.D.) with Providence, Rhode Island. Check all listed addresses for suites or satellite offices.
Why is information missing for MAHMOUD MOWAFY (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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