Active NPI
Nabeel K Ahmed, M.D.
- Nephrology Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- K7963
- Practice address
- 1133 Medical Dr
Tyler, TX 75701-2130 - Phone
- (903) 595-5486
- Fax
- (903) 595-5128
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | K7963 | TX | Primary |
Addresses
Primary practice location
1133 Medical Dr
Tyler, TX 75701-2130
Mailing address
1133 Medical Dr
Tyler, TX 75701-2130
Phone (903) 595-5486
Other practice location 1
807 E 1st St
Tyler, TX 75701-3304
Phone (903) 526-0480
Other practice location 2
203 Nacogdoches St Ste 240
Jacksonville, TX 75766-2465
Phone (903) 595-5486
Other practice location 3
4002 S Loop 256 Ste R
Palestine, TX 75801-8498
Phone (903) 595-5486
Other practice location 4
1336 S Palestine St
Athens, TX 75751-3621
Phone (903) 595-5486
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047138501 | Medicaid | TX | |
| 2002214870 A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1133 Medical Dr
Tyler, TX 75701-2130
Phone (903) 595-5486
18118 FM 344
Flint, TX 75762-6010
Phone (903) 825-3292
2000 S Palestine St
Athens, TX 75751-5610
Phone (903) 676-1000
2701 US Hwy 271 N
Pittsburg, TX 75686-4289
Phone (903) 946-5442
300 Wilson St
Henderson, TX 75652-5956
Phone (903) 655-6536
501 S Ragsdale St
Jacksonville, TX 75766-2434
Phone (903) 541-5143
Hospital & facility affiliations
- Palestine Dialysis Center
- FKC Palestine Home Therapies
- Christus Mother Frances Hospital
- Ut Health East Texas Tyler Regional Hospital
- Ut Health East Texas Henderson Hospital
- Ut Health East Texas Jacksonville Hospital
- Ut Health East Texas Athens Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Nephrology Associates, P.a. | Nephrology | Current | Accepting new patients |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Renal Care Group Texas, Inc. | Past | Accepting new patients |
Locations
1336 S Palestine St
Athens, TX 75751
Phone (903) 675-8882
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
203 Nacogdoches St
Ste 240
Jacksonville, TX 75766
Phone (903) 541-5452
4002 S Loop 256
Ste R
Palestine, TX 75801
Phone (903) 723-0911
807 E 1st St
Tyler, TX 75701
Phone (903) 526-0480
1133 Medical Dr
Tyler, TX 75701
Phone 9035955486173
11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451
5609 Donnybrook Ave
Tyler, TX 75703
Phone (903) 561-2808
Networks
- NM HMO C-SNP
Interoperability endpoints
- nahmed32212@direct.acumenmd.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- nahmed355404@ahs.direct-ci.com
- nabeel.ahmed.p66@direct.lifelinevascular.nextgenshare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
-
- Nephrology Physician
- Tyler, TX
- NPI 1942360326
-
- Ambulatory Surgical Clinic/Center
- Tyler, TX
- NPI 1144027087
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Palestine, TX
- NPI 1356453237
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Palestine, TX
- NPI 1356453237
Dialysis facility
-
- General Acute Care Hospital
- Athens, TX
- NPI 1417465824
-
- General Acute Care Hospital
- Henderson, TX
- NPI 1326546797
-
- General Acute Care Hospital
- Jacksonville, TX
- NPI 1730697350
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1003965906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 MEDICAL DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757012130",
"telephone_number": "903-595-5486",
"fax_number": "903-595-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 MEDICAL DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757012130",
"telephone_number": "903-595-5486",
"fax_number": "903-595-5128"
}
],
"practiceLocations": [
{
"address_1": "807 E 1st St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757013304",
"country_code": "US",
"telephone_number": "903-526-0480",
"fax_number": "903-595-5128",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "203 Nacogdoches St Ste 240",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "TX",
"postal_code": "757662465",
"country_code": "US",
"telephone_number": "903-595-5486",
"fax_number": "903-595-5128",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4002 S Loop 256 Ste R",
"address_purpose": "LOCATION",
"city": "Palestine",
"state": "TX",
"postal_code": "758018498",
"country_code": "US",
"telephone_number": "903-595-5486",
"fax_number": "903-595-5128",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1336 S Palestine St",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "TX",
"postal_code": "757513621",
"country_code": "US",
"telephone_number": "903-595-5486",
"fax_number": "903-595-5128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMED",
"first_name": "NABEEL",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "K7963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047138501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2002214870 A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.