MR. DERAR MAHMOUD (OTR/L) – Occupational Therapist, NPI 1912170770

MR. DERAR MAHMOUD (OTR/L) is a healthcare provider. based in Houston, Texas. specializing in Occupational Therapist. They hold the professional credentials OTR/L. They hold a License No. 113970 (TX). The NPI Number for MR. DERAR MAHMOUD (OTR/L) is 1912170770

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
MR. DERAR MAHMOUD (OTR/L)
NPI
1912170770
Phone
(281) 879-8040
Address
12777 BEECHNUT STREET
Enumeration Date
11 April 2008
Last Update Date
15 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3463583302
Graduation Year
1993 (33 years ago)
PAC ID
3072698935
Group Practice PAC ID
6507832573
Professional Enrollment ID
I20191206000401

Contacts

Other Endpoint
derar.mahmoud@selectrehab.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MR. DERAR MAHMOUD (OTR/L)

  • Beechnut Street, Houston, Harris County, Texas, 77072, United States

    HOUSTON, TX 77099

    Phone: (281) 879-8040

    Type: Mailing

  • 17911 HYDE COVE CT

    RICHMOND, TX 774075010

    Phone: (713) 384-0525

    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: 2019-12-06

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
I20191206000401IOccupational Therapist In Private PracticeTXTBD

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 77099)

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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: 6507832573View full group profile
NameSpecialtyState
-IN
Occupational Therapist In Private PracticeTN
Physical Therapist In Private PracticeNH
-AR
Occupational Therapist In Private PracticeNJ
-IL
-TX
Physical Therapist In Private PracticeMA
-OK
-OK

Reviews

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Frequently asked questions

Can I verify MR. DERAR MAHMOUD (OTR/L) with an NPI only?
You can start verification with NPI 1912170770 for MR. DERAR MAHMOUD (OTR/L), then check state licensing separately.
Can I rely on MR. DERAR MAHMOUD (OTR/L) being an active provider?
As of the registry snapshot, MR. DERAR MAHMOUD (OTR/L) is marked active.
What is MR. DERAR MAHMOUD (OTR/L)'s primary classification?
Occupational Therapist is the headline specialty for MR. DERAR MAHMOUD (OTR/L) here. Clinical services aligned with this taxonomy classification.
Where is MR. DERAR MAHMOUD (OTR/L) based?
MR. DERAR MAHMOUD (OTR/L) is tied to Houston, Texas in the data we show; additional addresses may exist on the full record.
Why does MR. DERAR MAHMOUD (OTR/L) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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