Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mahmoud Mima

Individual provider Urology Physician · NPI 1629592639

Mahmoud Mima is a General Surgery in Chicago, Illinois. Qualified in 2008, 18 years ago. Practices with Mount Sinai Community Foundation, a 246-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
18
Licensed in
IL
In the registry since
2017
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Practice location Address checks out

820 S Wood St Csn 515
Chicago, IL 60612
Phone: (847) 373-3359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 125.069853 (IL)

Record details

NPI number1629592639
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESAugust 1, 2017
Mailing address5906 N Kenmore Ave Apt B-7, Chicago, IL 60660-5109

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesUROLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mount Sinai Community Foundation — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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