Muhammad Ejaz Ata

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16386 Issued in AL

Practice address

6110 County Road 88
Pisgah Medical Clinic
Pisgah, AL 35765

Phone

(256) 451-1250

Fax

(256) 451-1270

NPI assigned

Sep 8, 2006

Sex

Male

Sole proprietor

Yes

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.

• Valley Head Clinic LLC

  • Clinic/Center
  • Fort Payne, AL
  • NPI 1790004836

  AL

  Medicare reassignment Care Compare group NPD Authorized official
• Horizon Healthcare LLC

  • Clinic/Center
  • Fort Payne, AL
  • NPI 1952659419

  AL

  Medicare reassignment NPD Authorized official
• Horizon Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Oneonta, AL
  • NPI 1588904791

  AL

  Medicare reassignment NPD Authorized official
• Med Care LLC

  • Clinic/Center
  • Fort Payne, AL
  • NPI 1528467388

  AL

  Medicare reassignment NPD Authorized official
• Premier Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Scottsboro, AL
  • NPI 1083955173

  AL

  Medicare reassignment Care Compare group NPD
• Valley Medical Clinic LLC

  • Rural Health Clinic/Center
  • Scottsboro, AL
  • NPI 1063948891

  AL

  Medicare reassignment NPD Authorized official
• Valley Head Clinic LLC

  • Multi-Specialty Clinic/Center
  • Pisgah, AL
  • NPI 1679827497
  Care Compare group NPD Authorized official
• American Drug Testing Lab LLC

  • Clinical Medical Laboratory
  • Scottsboro, AL
  • NPI 1497197321

  AL

  Medicare reassignment NPD
• Midway Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Oneonta, AL
  • NPI 1386984649
  NPD Authorized official
• Main Street Clinic, LLC

  • Pediatrics Physician
  • Pell City, AL
  • NPI 1740895291
  NPD (past) Authorized official
• Muhammad Ejaz Ata

  • Rural Health Clinic/Center
  • Scottsboro, AL
  • NPI 1003904368
  NPD (past) Authorized official
• Muhammad Ejaz Ata

  • Rural Health Clinic/Center
  • Pisgah, AL
  • NPI 1306939467
  NPD (past) Authorized official

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

• Amedisys Home Health of Alabama, LLC

  • Home Health Agency
  • Rainsville, AL
  • NPI 1861413890
  Care Compare affiliation
• HH Health System - Jackson LLC

  • Home Health Agency
  • Scottsboro, AL
  • NPI 1093484396
  Care Compare affiliation
• HH Health System - Jackson LLC

  • General Acute Care Hospital
  • Scottsboro, AL
  • NPI 1699444976

  Hospital

  Care Compare affiliation
• HH Health System - Marshall LLC

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760

  Hospital

  Care Compare affiliation
• Mid-South Home Health of Gadsden, LLC

  • Home Health Agency
  • Rainbow City, AL
  • NPI 1740219591
  Care Compare affiliation

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Horizon Healthcare LLC

  • Clinic/Center
  • Fort Payne, AL
  • NPI 1952659419

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Horizon Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Oneonta, AL
  • NPI 1588904791

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership
• Main Street Clinic, LLC

  • Pediatrics Physician
  • Pell City, AL
  • NPI 1740895291

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership
• Midway Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Oneonta, AL
  • NPI 1386984649

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership
• Premier Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Scottsboro, AL
  • NPI 1083955173

  5% Or Greater Direct Ownership Interest, Limited Partnership Interest, W-2 Managing Employee

  CMS ownership
• Smart Care, LLC

  • Pediatrics Physician
  • Talladega, AL
  • NPI 1922615749

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership
• Southview Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Hanceville, AL
  • NPI 1033554357

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership
• Valley Head Clinic LLC

  • Multi-Specialty Clinic/Center
  • Pisgah, AL
  • NPI 1679827497

  5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control

  CMS ownership
• Valley Medical Clinic LLC

  • Rural Health Clinic/Center
  • Scottsboro, AL
  • NPI 1063948891

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership

Specialty

Internal MedicineAlso: Family Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Medical Clinic LLC 9 clinicians

Valley Head Clinic LLC 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Fort Payne Home health agency, Rainesville, AL, CCN 017158
• Centerwell Home Health Home health agency, Rainbow City, AL, CCN 017018
• Highlands Home Health Home health agency, Scottsboro, AL, CCN 017104
• Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061
• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (16 of 20)

Locations

Networks

• MS PPO C-SNP
• MS PPO D-SNP
• FL PPO
• MS PPO

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17774/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2009.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1023112307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "address_2": "6110 COUNTY ROAD 88",
            "city": "PISGAH",
            "state": "AL",
            "postal_code": "357650246",
            "telephone_number": "256-451-1250",
            "fax_number": "256-451-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 COUNTY ROAD 88",
            "address_2": "PISGAH MEDICAL CLINIC",
            "city": "PISGAH",
            "state": "AL",
            "postal_code": "35765",
            "telephone_number": "256-451-1250",
            "fax_number": "256-451-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATA",
        "first_name": "MUHAMMAD",
        "middle_name": "EJAZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "16386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009910886",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110061830",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "051523907",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000087667",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "051087667",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529900820",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541003864",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541386401",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darren Patrick Barrilleaux, DDS
• Ashley Hall, RN
• Auburn Reilly McCrary
• Muhammad Ejaz Ata
• Muhammad Ejaz Ata

• All providers in Pisgah, AL
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.