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

Mahmoud Mowafy, MD

Individual provider Internal Medicine Physician · NPI 1003369042

Mahmoud Mowafy, MD is an Internal Medicine in Pawtucket, Rhode Island. Qualified in 2013, 13 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
13
Licensed in
MA, RI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 Brewster St
Pawtucket, RI 02860-4474
Phone: (401) 729-2258
Fax: (401) 729-3343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 88 Washington St, Taunton, MA 02780-2465 — (508) 828-7000
  • 164 Summit Ave, Providence, RI 02906-2853 — (401) 793-4489

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD16555 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 1021835 (MA)

Record details

NPI number1003369042
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2016
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address111 Brewster St, Pawtucket, RI 02860-4474

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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