SYED KHURRAM MAHBOOB (M.D) – Family Medicine Physician, NPI 1770760944
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
Provider Addresses for SYED KHURRAM MAHBOOB (M.D)
4379 RIDGEWOOD CENTER DR
SUITE 102
WOODBRIDGE, VA 221928322
Phone: (703) 680-7950
Fax: (703) 680-7953
Type: Mailing
23501 Cinco Ranch Blvd Ste G205
Katy, TX 774943286
Phone: (346) 271-9655
Fax: (346) 273-1825
Type: Location
14100 Southwest Fwy Ste 400
Sugar Land, TX 774783465
Phone: (281) 972-4972
Type: Location
4379 RIDGEWOOD CENTER DR STE 102
WOODBRIDGE, VA 221928323
Phone: (703) 680-7950
Fax: (703) 680-7953
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-04-11 • Largest payer in this snapshot: PFIZER INC. ($26).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $26 |
| SANOFI PASTEUR INC. | $18 |
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: 2015-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (895 days ago).
Enrollment records
2
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110324000528 | I | Geriatric Medicine | DC | TBD |
| I20151221000299 | I | Family Practice | VA | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 39 | 28 | $0 |
Insurance plans in this area (ZIP 22192)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Mental Health Counselor | VA | |
| Nurse Practitioner | MD | |
| Mental Health Counselor | VA | |
| - | VA | |
| Physician Assistant | VA | |
| Physician Assistant | MD | |
| Mental Health Counselor | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.