NPIMap

Individual provider Active NPI

Mansoor Ahmed, MD

  • Rheumatology Physician
  • Richmond, KY
National Provider Identifier
1023058302
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
7100065040 Issued in KY
Practice address
2130 Lexington Rd Ste a-B
Richmond, KY 40475-7923
Phone
(859) 623-5500
Fax
(833) 249-5207
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X 40119 KY
Rheumatology Physician 207RR0500X 7100065040 KY Primary

Addresses

Primary practice location

2130 Lexington Rd Ste a-B
Richmond, KY 40475-7923

Mailing address

2130 Lexington Rd Ste a-B
Richmond, KY 40475-7923
Phone (859) 623-5500

Other identifiers 3

IdentifierTypeStateIssuer
000000598642OtherKYANTHEM INDIVIDUAL #
7100065040MedicaidKY
786409OtherAETNA PIN#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000531 KY Practitioner - RheumatologyPractitioner - Internal Medicine 7618927138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, 187 clinicians
Arthritis and Osteoporosis Center PLLCGroup PAC ID 2668536350, 3 clinicians

Practice addresses (Care Compare)

116 Meridian Way
Richmond, KY 40475-2876
Phone (859) 623-6334

2130 Lexington Rd
Suite a B
Richmond, KY 40475-7923
Phone (859) 623-5500

3101 Wall St
Lexington, KY 40513-1711
Phone (859) 623-5500

504 Tenikat St
Danville, KY 40422-1751
Phone (859) 623-5500

Hospital & facility affiliations

  • Baptist Health Richmond Hospital, Richmond, KY, CCN 180049
  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
  • Ephraim McDowell Regional Medical Center Hospital, Danville, KY, CCN 180048

Merit-based Incentive Payment System (MIPS)

Final score
79.92 of 100Reported as group
Quality
50.18
Improvement activities
40
Cost
86.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7100065040KYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Healthcare Inc CurrentSince Mar 1, 2022 Accepting new patients
Arthritis and Osteoporosis Center PLLC Rheumatology CurrentSince Jan 9, 2009 Accepting new patients
Faith Healthcare Inc Rheumatology CurrentSince Mar 1, 2022 Accepting new patients
Highland Hospitalist Services Medical Group Past Accepting new patients

Locations

504 Tenikat St
Danville, KY 40422
Phone (859) 236-4442

3101 Wall St
Lexington, KY 40513
Phone (859) 219-6440

126 Franklin Rd
Monticello, KY 42633
Phone (606) 396-3534

2130 Lexington Rd
Ste A
Richmond, KY 40475

2130 Lexington Rd
Ste Ab
Richmond, KY 40475
Phone (859) 314-5808

789 Eastern Byp
Ste 17
Richmond, KY 40475
Phone (859) 623-5500

5775 N Highway 27
Ste 6
Science Hill, KY 42553
Phone (606) 489-3629

Interoperability endpoints

  • Direct secure messaging: mansoor.ahmed@shfc.eclinicaldirectplus.com
  • Direct secure messaging: mahmed419359@direct.stlukeshealth.org
  • Direct secure messaging: mahmed5781@bhkydirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CDFGBD/Endpoint/CDFGBD

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1023058302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 LEXINGTON RD STE A-B",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757923",
            "telephone_number": "859-623-5500",
            "fax_number": "833-249-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 LEXINGTON RD STE A-B",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757923",
            "telephone_number": "859-623-5500",
            "fax_number": "833-249-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MANSOOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "KY",
            "license": "40119",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "7100065040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIVIDUAL #",
            "identifier": "000000598642",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100065040",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN#",
            "identifier": "786409",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.