Active NPI
Mobashar Ahmad, M.D.
- Emergency Medicine Physician
- Herndon, VA
National Provider Identifier
1003844911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101049338
- Practice address
- 1110 Elden St # a
Suite 102
Herndon, VA 20170-5529 - Phone
- (703) 707-3707
- Fax
- (703) 707-9010
- NPI assigned
- Jun 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101049338 | VA | Primary |
Addresses
Primary practice location
1110 Elden St # a
Suite 102
Herndon, VA 20170-5529
Mailing address
1110 Elden St # a
Suite 102
Herndon, VA 20170-5529
Phone (703) 707-3707
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5966669 | Other | VA | AETNA PPO |
| 386123 | Other | VA | ANTHEM BC/BS |
| G82400001 | Other | VA | CAREFIRST BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101049338 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Virginia Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| MCV Associated Physicians | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MCV Physicians
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
Emergency Medicine
-
- Nurse Practitioner
- Arlington, VA
- NPI 1225053390
Emergency Medicine
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003844911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 ELDEN ST # A",
"address_2": "SUITE 102",
"city": "HERNDON",
"state": "VA",
"postal_code": "201705529",
"telephone_number": "703-707-3707",
"fax_number": "703-707-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 ELDEN ST # A",
"address_2": "SUITE 102",
"city": "HERNDON",
"state": "VA",
"postal_code": "201705529",
"telephone_number": "703-707-3707",
"fax_number": "703-707-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "MOBASHAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101049338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5966669",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "386123",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "G82400001",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.